Lauren Mathis, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Evans, Georgia. Her current practice location is
411 Town Park Blvd, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 854-2500.
Lauren Mathis is licensed to practice in Georgia (license number RN214012) 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 1740729516.
Physician's Profile
| Full Name | Lauren Mathis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 411 Town Park Blvd, Evans, Georgia |
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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: 1740729516
- Provider Enumeration Date: 02/14/2017
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042596215
- Enrollment ID: I20170425000433
Medical Identifiers
Medical identifiers for Lauren Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740729516 | NPI | - | NPPES |
| 003187586D | Medicaid | GA | |
| 003187586E | Medicaid | GA | |
| 003187586F | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | RN214012 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN214012 (Georgia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | RN214012 (Georgia) | 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. Lauren Mathis allows following entities to bill medicare on her behalf.
| Entity Name | Au Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188 |
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| Entity Name | Au Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437135902
PECOS PAC ID: 7618866229
Enrollment ID: O20040312000081 |
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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. Lauren 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 Address | Practice Location Address |
|---|
Lauren Mathis, NP
411 Town Park Blvd,
Evans, GA 30809-3487
Ph: (706) 854-2500 | Lauren Mathis, NP
411 Town Park Blvd,
Evans, GA 30809-3487
Ph: (706) 854-2500 |
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