Fallon Andrea Mattis, MD is a medicare enrolled "Family Medicine" physician in South Boston, Virginia. 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.
Physician's Profile
Full Name | Fallon Andrea Mattis |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 101 Aubreys Loop, South Boston, Virginia |
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Accepts Medicare Assignments | May 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 in
NPI Data:
- NPI Number: 1558686345
- Provider Enumeration Date: 04/05/2010
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Fallon Andrea Mattis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558686345 | NPI | - | NPPES |
1558686345 | Other | NY | FAMILY MEDICINE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R7061 (Texas) | Secondary |
207Q00000X | Family Medicine | 63188 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 036144488 (Illinois) | Secondary |
207Q00000X | Family Medicine | 2017034134 (Missouri) | Secondary |
207Q00000X | Family Medicine | 10501937-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | 273617-1 (New York) | Secondary |
207Q00000X | Family Medicine | 25MA10713600 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 0101257845 (Virginia) | Primary |
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 Address | Practice 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 |
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