Matthew E Hiestand, MD is a medicare enrolled "Internal Medicine" physician in Bolivar, Ohio. He went to Medical College Of Ohio and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Orrville Hospital Foundation and his current practice location is
10724 State Route 212 Ne, Bolivar, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 874-7165.
Matthew E Hiestand is licensed to practice in Ohio (license number 35070029H) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497723613.
Physician's Profile
| Full Name | Matthew E Hiestand |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 30 Years |
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| Location | 10724 State Route 212 Ne, Bolivar, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matthew E Hiestand attended and graduated from Medical College Of Ohio in 1994
NPI Data:
- NPI Number: 1497723613
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 02/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 6406987593
- Enrollment ID: I20100707000172
Medical Identifiers
Medical identifiers for Matthew E Hiestand such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497723613 | NPI | - | NPPES |
| 2066473 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 35070029H (Ohio) | Primary |
| 208000000X | Pediatrics | 35-070029 (Ohio) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orrville Hospital Foundation | 7911890546 | 110 |
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. Matthew E Hiestand allows following entities to bill medicare on his behalf.
| Entity Name | Orrville Hospital Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891718375
PECOS PAC ID: 7911890546
Enrollment ID: O20040206000004 |
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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. Matthew E Hiestand 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 E Hiestand, MD
6046 Whipple Ave Nw,
North Canton, OH 44720-7616
Ph: (330) 874-7165 | Matthew E Hiestand, MD
10724 State Route 212 Ne,
Bolivar, OH 44612-8740
Ph: (330) 874-7165 |
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