Fallon Andrea Mattis, MD - Medicare Family Practice in South Boston, VA

Fallon Andrea Mattis, MD is a medicare enrolled "Family Medicine" physician in South Boston, Virginia. She went to University Of Pittsburgh School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Doctor On Demand Professionals Of New Jersey Pc and her current practice location is 101 Aubreys Loop, Sentara Halifax Family Medicine, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (646) 835-9001.

Fallon Andrea Mattis is licensed to practice in Virginia (license number 0101257845) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558686345.

Contact Information

Fallon Andrea Mattis, MD
101 Aubreys Loop, Sentara Halifax Family Medicine,
South Boston, VA 24592-5054
(646) 835-9001
(646) 835-9001

Map and Direction




Physician's Profile

Full NameFallon Andrea Mattis
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location101 Aubreys Loop, South Boston, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fallon Andrea Mattis attended and graduated from University Of Pittsburgh School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1558686345
  • Provider Enumeration Date: 04/05/2010
  • Last Update Date: 10/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3678885043
  • Enrollment ID: I20200514000776

Medical Identifiers

Medical identifiers for Fallon Andrea Mattis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558686345NPI-NPPES
1558686345OtherNYFAMILY MEDICINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R7061 (Texas)Secondary
207Q00000XFamily Medicine 63188 (Minnesota)Secondary
207Q00000XFamily Medicine 036144488 (Illinois)Secondary
207Q00000XFamily Medicine 2017034134 (Missouri)Secondary
207Q00000XFamily Medicine 10501937-1205 (Utah)Secondary
207Q00000XFamily Medicine 273617-1 (New York)Secondary
207Q00000XFamily Medicine 25MA10713600 (New Jersey)Secondary
207Q00000XFamily Medicine 0101257845 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Doctor On Demand Professionals Of New Jersey Pc34768358517

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. Fallon Andrea Mattis allows following entities to bill medicare on her behalf.
Entity NameDoctor On Demand Professionals Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689082950
PECOS PAC ID: 3476835851
Enrollment ID: O20200514000642

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. Fallon Andrea Mattis 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
Fallon Andrea Mattis, MD
1103 N Main St,
South Boston, VA 24592-2511

Ph: (646) 835-9001
Fallon Andrea Mattis, MD
101 Aubreys Loop, Sentara Halifax Family Medicine,
South Boston, VA 24592-5054

Ph: (646) 835-9001

Reviews and Comments


Family Medicine Doctors in South Boston, VA

Gahear F Hamlor, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Aubreys Loop, South Boston, VA 24592
Phone: 434-517-3879    Fax: 434-517-3989
Nakisha Easley, FNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1129 N Main St Ste H, South Boston, VA 24592
Phone: 434-517-6180    Fax: 434-517-6179
Virgilus Ozoude, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Aubreys Loop, South Boston, VA 24592
Phone: 434-517-3879    Fax: 434-517-3989

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.