Matthew Gilbert Straley, MD is a medicare enrolled "Pediatrics" physician in West Saint Paul, Minnesota. His current practice location is
1880 Livingston Ave Ste 102, West Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 552-7999.
Matthew Gilbert Straley is licensed to practice in Minnesota (license number 58469) 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 1992098214.
Physician's Profile
Full Name | Matthew Gilbert Straley |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1880 Livingston Ave Ste 102, West Saint Paul, Minnesota |
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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: 1992098214
- Provider Enumeration Date: 05/19/2011
- Last Update Date: 09/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183941784
- Enrollment ID: I20150319000458
Medical Identifiers
Medical identifiers for Matthew Gilbert Straley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992098214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0101256226 (Virginia) | Secondary |
208000000X | Pediatrics | 58469 (Minnesota) | 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. Matthew Gilbert Straley allows following entities to bill medicare on his behalf.
Entity Name | Dominion Health Medical Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
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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 Gilbert Straley 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 Gilbert Straley, MD 1880 Livingston Ave Ste 102, West Saint Paul, MN 55118-3426 Ph: (651) 552-7999 | Matthew Gilbert Straley, MD 1880 Livingston Ave Ste 102, West Saint Paul, MN 55118-3426 Ph: (651) 552-7999 |
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