Dr Matthew Albert Mavissakalian, DO is a medicare enrolled "Allergy & Immunology" physician in Tonawanda, New York. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Jeffrey B. Rockoff,md,pc and his current practice location is
2540 Sheridan Dr, Tonawanda, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 874-8980.
Dr Matthew Albert Mavissakalian is licensed to practice in New York (license number 293451) 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 1790028397.
Physician's Profile
| Full Name | Dr Matthew Albert Mavissakalian |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 12 Years |
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| Location | 2540 Sheridan Dr, Tonawanda, New York |
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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 Matthew Albert Mavissakalian graduated from medical school in 2013
NPI Data:
- NPI Number: 1790028397
- Provider Enumeration Date: 04/02/2013
- Last Update Date: 11/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456606235
- Enrollment ID: I20180619002244
Medical Identifiers
Medical identifiers for Dr Matthew Albert Mavissakalian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790028397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 293451 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jeffrey B. Rockoff,md,pc | 0749363737 | 3 |
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 Matthew Albert Mavissakalian allows following entities to bill medicare on his behalf.
| Entity Name | Jeffrey B. Rockoff,md,pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346427739
PECOS PAC ID: 0749363737
Enrollment ID: O20080214000144 |
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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 Matthew Albert Mavissakalian 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 Matthew Albert Mavissakalian, DO
2157 Main St,
Buffalo, NY 14214-2648
Ph: () - | Dr Matthew Albert Mavissakalian, DO
2540 Sheridan Dr,
Tonawanda, NY 14150-9410
Ph: (716) 874-8980 |
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