Mandira C Matta, MD in Milpitas, CA

Mandira C Matta, MD is a medicare enrolled "Pediatrics" physician in Milpitas, California. Her current practice location is 770 E Calaveras Blvd, Milpitas, California. You can reach out to her office (for appointments etc.) via phone at (650) 945-2900.

Mandira C Matta is licensed to practice in California (license number A56385) 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 1346392560.

Contact Information

	Mandira C Matta, MD
	770 E Calaveras Blvd, Milpitas, CA 95035-5491
	(650) 945-2900
	Not Available

Map and Direction

Physician's Profile

Full Name	Mandira C Matta
Gender	Female
Speciality	Pediatrics
Location	770 E Calaveras Blvd, Milpitas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346392560
Provider Enumeration Date: 01/17/2007
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5597706002
Enrollment ID: I20050516000223

Medical Identifiers

Medical identifiers for Mandira C Matta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346392560	NPI	-	NPPES
00A563850	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A56385 (California)	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. Mandira C Matta allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mandira C Matta 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
Mandira C Matta, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Mandira C Matta, MD 770 E Calaveras Blvd, Milpitas, CA 95035-5491 Ph: (650) 945-2900

Reviews and Comments

Pediatrics Doctors in Milpitas, CA

Quang D. Dao, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900
Dr. Lucy H Huynh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 589 Los Coches St, Milpitas, CA 95035 Phone: 408-851-2968
Ellen Tu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 589 Los Coches St, Milpitas, CA 95035 Phone: 408-945-2900
Denise M. Brahan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900
Alice Shechin Yen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900
Elizabeth G. Vroman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 770 E Calaveras Blvd, Milpitas, CA 95035 Phone: 650-945-2900

Mandira C Matta, MD - Medicare Pediatrics in Milpitas, CA