Matilda Boachie, PMHNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Tan Valley, Arizona. Her current practice location is
316 W Pinnacle Ridge Dr, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at
(860) 967-2388.
Matilda Boachie is licensed to practice in Arizona (license number 234728) 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 1306571468.
Physician's Profile
Full Name | Matilda Boachie |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 316 W Pinnacle Ridge Dr, San Tan Valley, Arizona |
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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: 1306571468
- Provider Enumeration Date: 07/21/2022
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052766474
- Enrollment ID: I20231004003332
Medical Identifiers
Medical identifiers for Matilda Boachie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306571468 | NPI | - | NPPES |
NA | Other | | NA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 234728 (Arizona) | 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. Matilda Boachie allows following entities to bill medicare on her behalf.
Entity Name | Angels Valley Community Healthcare Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689303117 PECOS PAC ID: 8628452927 Enrollment ID: O20220906002813 |
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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. Matilda Boachie 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 |
Matilda Boachie, PMHNP 316 W Pinnacle Ridge Dr, San Tan Valley, AZ 85140-7047 Ph: (860) 967-2388 | Matilda Boachie, PMHNP 316 W Pinnacle Ridge Dr, San Tan Valley, AZ 85140-7047 Ph: (860) 967-2388 |
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