Dr Prakash Joel Mathew, MD, MBA is a medicare enrolled "Plastic Surgery" physician in Phildelphia, Pennsylvania. His current practice location is
3400 Spruce St, Phildelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 662-2096.
Dr Prakash Joel Mathew is licensed to practice in Pennsylvania (license number MD473789) 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 1356698013.
Physician's Profile
Full Name | Dr Prakash Joel Mathew |
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Gender | Male |
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Speciality | Plastic Surgery |
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Location | 3400 Spruce St, Phildelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356698013
- Provider Enumeration Date: 08/12/2012
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981968617
- Enrollment ID: I20220701000013
Medical Identifiers
Medical identifiers for Dr Prakash Joel Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356698013 | NPI | - | NPPES |
0856983 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 25MA11102600 (New Jersey) | Secondary |
208200000X | Plastic Surgery | MD473789 (Pennsylvania) | 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 Prakash Joel Mathew allows following entities to bill medicare on his behalf.
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
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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 Prakash Joel 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 Address | Practice Location Address |
Dr Prakash Joel Mathew, MD, MBA 3400 Spruce St, Phildelphia, PA 19104-4206 Ph: (215) 662-2096 | Dr Prakash Joel Mathew, MD, MBA 3400 Spruce St, Phildelphia, PA 19104-4206 Ph: (215) 662-2096 |
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