Matthew Albert Iandoli, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Greenville, North Carolina. His current practice location is
2100 Stantonsburg Rd, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 847-4100.
Matthew Albert Iandoli is licensed to practice in North Carolina (license number RTL20-0627) 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 1407419344.
Physician's Profile
Full Name | Matthew Albert Iandoli |
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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 | 2100 Stantonsburg Rd, Greenville, North Carolina |
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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: 1407419344
- Provider Enumeration Date: 04/16/2019
- Last Update Date: 01/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901228204
- Enrollment ID: I20200615001208
Medical Identifiers
Medical identifiers for Matthew Albert Iandoli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407419344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 263675 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RTL20-0627 (North Carolina) | Primary |
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. Matthew Albert Iandoli 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 |
Matthew Albert Iandoli, DO 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: (252) 847-4100 | Matthew Albert Iandoli, DO 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: (252) 847-4100 |
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