Dr Kolathu A Mathew, MD - Medicare Pediatrics in West Islip, NY

Dr Kolathu A Mathew, MD is a medicare enrolled "Pediatrics" physician in West Islip, New York. His current practice location is 720 Montauk Hwy, West Islip, New York. You can reach out to his office (for appointments etc.) via phone at (631) 669-2900.

Dr Kolathu A Mathew is licensed to practice in New York (license number 111422) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083744171.

Contact Information

Dr Kolathu A Mathew, MD
720 Montauk Hwy,
West Islip, NY 11795-4411
(631) 669-2900
(631) 669-2547

Map and Direction




Physician's Profile

Full NameDr Kolathu A Mathew
GenderMale
SpecialityPediatrics
Location720 Montauk Hwy, West Islip, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083744171
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850516899
  • Enrollment ID: I20140707000665

Medical Identifiers

Medical identifiers for Dr Kolathu A Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083744171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 111422 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kolathu A Mathew allows following entities to bill medicare on his behalf.
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kolathu A Mathew is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kolathu A Mathew, MD
720 Montauk Hwy,
West Islip, NY 11795-4411

Ph: (631) 669-2900
Dr Kolathu A Mathew, MD
720 Montauk Hwy,
West Islip, NY 11795-4411

Ph: (631) 669-2900

Reviews and Comments


Pediatrics Doctors in West Islip, NY

Desiree Lariosa Catalan, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Montauk Hwy, West Islip, NY 11795
Phone: 631-376-4163    
Dr. Branda Shrivastava,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Montauk Hwy, West Islip, NY 11795
Phone: 631-376-4161    
Dr. Eldose Cherian George, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 720 Montauk Hwy, West Islip, NY 11795
Phone: 631-669-2900    
Dr. Mary J Bilder, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 239 Higbie Ln, West Islip, NY 11795
Phone: 631-376-6000    Fax: 631-376-6031
Timothy George, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 239 Higbie Ln, West Islip, NY 11795
Phone: 631-376-6000    Fax: 631-376-6031
Reethamma Daniel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1000 Montauk Hwy, West Islip, NY 11795
Phone: 631-376-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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