Jennifer Mathis, MD - Medicare Preventive Medicine in Tahlequah, OK

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Jennifer Mathis, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Tahlequah, Oklahoma. Her current practice location is 1400 E Downing St, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 456-0641.

Jennifer Mathis is licensed to practice in Oklahoma (license number 25428) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548304892.

Contact Information

Jennifer Mathis, MD
1400 E Downing St,
Tahlequah, OK 74464-3324
(918) 456-0641
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Mathis
GenderFemale
SpecialityPreventive Medicine - Addiction Medicine
Location1400 E Downing St, Tahlequah, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548304892
  • Provider Enumeration Date: 02/19/2007
  • Last Update Date: 06/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426158270
  • Enrollment ID: I20070710000481

Medical Identifiers

Medical identifiers for Jennifer Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548304892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25428 (Oklahoma)Secondary
207Q00000XFamily Medicine 54065 (Arizona)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 25428 (Oklahoma)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. Jennifer Mathis allows following entities to bill medicare on her behalf.
Entity NameNortheastern Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457574170
PECOS PAC ID: 1456255025
Enrollment ID: O20031125000250
Entity NameTahlequah Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881960771
PECOS PAC ID: 4082861349
Enrollment ID: O20120822000336

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. Jennifer Mathis 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
Jennifer Mathis, MD
1400 E Downing St,
Tahlequah, OK 74464-3324

Ph: (918) 456-0641		Jennifer Mathis, MD
1400 E Downing St,
Tahlequah, OK 74464-3324

Ph: (918) 456-0641

Reviews and Comments


Preventive Medicine Doctors in Tahlequah, OK


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.