Dr Luis Angel Matos, MD, MBA is a medicare enrolled "Allergy & Immunology - Allergy" physician in Forest, Virginia. He went to University Of Puerto Rico School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
1019a Vista Park Dr, Forest, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 515-0419.
Dr Luis Angel Matos is licensed to practice in Virginia (license number 0101056392) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972506509.
Physician's Profile
| Full Name | Dr Luis Angel Matos |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 48 Years |
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| Location | 1019a Vista Park Dr, Forest, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Luis Angel Matos attended and graduated from University Of Puerto Rico School Of Medicine in 1976
NPI Data:
- NPI Number: 1972506509
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 04/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 3870568512
- Enrollment ID: I20040827000059
Medical Identifiers
Medical identifiers for Dr Luis Angel Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972506509 | NPI | - | NPPES |
| 5804426 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 0101056392 (Virginia) | Secondary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 0101056392 (Virginia) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 0101056392 (Virginia) | Primary |
Medical Facilities Affiliation
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 Luis Angel Matos allows following entities to bill medicare on his behalf.
| Entity Name | Allergy & Immunology Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457423550
PECOS PAC ID: 0547235285
Enrollment ID: O20040827000034 |
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| Entity Name | Intravene Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285902890
PECOS PAC ID: 7315108511
Enrollment ID: O20120416000409 |
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| Entity Name | Privia Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011 |
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| Entity Name | Indwell Health And Wellness Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689119646
PECOS PAC ID: 5698184463
Enrollment ID: O20210506002409 |
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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 Luis Angel Matos 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 Address | Practice Location Address |
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Dr Luis Angel Matos, MD, MBA
Po Box 13103,
Roanoke, VA 24031-3103
Ph: (434) 252-0026 | Dr Luis Angel Matos, MD, MBA
1019a Vista Park Dr,
Forest, VA 24551-4901
Ph: (434) 515-0419 |
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