Dr Matthew David Coffman, MD is a medicare enrolled "Dermatology" physician in Fort Hood, Texas. His current practice location is
36065 Santa Fe Ave, Crd Army Medical Center, Fort Hood, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 553-3779.
Dr Matthew David Coffman is licensed to practice in Colorado (license number DR.0059448) 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 1245681410.
Physician's Profile
| Full Name | Dr Matthew David Coffman |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 36065 Santa Fe Ave, Fort Hood, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245681410
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 04/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698217594
- Enrollment ID: I20240606003370
Medical Identifiers
Medical identifiers for Dr Matthew David Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245681410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | DR.0059448 (Colorado) | 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 Matthew David Coffman allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Skin Surgery And Dermatology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972972594
PECOS PAC ID: 5698076644
Enrollment ID: O20151216000058 |
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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 David Coffman 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 David Coffman, MD
36065 Santa Fe Ave, Crd Army Medical Center,
Fort Hood, TX 76544-5001
Ph: (254) 553-3779 | Dr Matthew David Coffman, MD
36065 Santa Fe Ave, Crd Army Medical Center,
Fort Hood, TX 76544-5001
Ph: (254) 553-3779 |
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