Matias A Calquin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Provo, Utah. His current practice location is
589 S State St, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 420-2000.
Matias A Calquin is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093343980.
Physician's Profile
Full Name | Matias A Calquin |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 589 S State St, Provo, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093343980
- Provider Enumeration Date: 03/28/2020
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971993841
- Enrollment ID: I20211208001518
Medical Identifiers
Medical identifiers for Matias A Calquin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093343980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 12374118-1205 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Matias A Calquin allows following entities to bill medicare on his behalf.
Entity Name | Mountainlands Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427075134 PECOS PAC ID: 6305872201 Enrollment ID: O20050712000914 |
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Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Matias A Calquin 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 |
Matias A Calquin, MD 589 S State St, Provo, UT 84606-5056 Ph: (801) 429-2000 | Matias A Calquin, MD 589 S State St, Provo, UT 84606-5056 Ph: (801) 420-2000 |
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