Matthew Hale Mauro, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gambrills, Maryland. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lucid Psychiatric Practice Llc and his current practice location is
206 Mustang Ct, Gambrills, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 845-4269.
Matthew Hale Mauro is licensed to practice in Maryland (license number R195403) 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 1154915387.
Physician's Profile
Full Name | Matthew Hale Mauro |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 206 Mustang Ct, Gambrills, Maryland |
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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. |
Medical Education and Training:
- Matthew Hale Mauro graduated from medical school in 2021
NPI Data:
- NPI Number: 1154915387
- Provider Enumeration Date: 02/28/2021
- Last Update Date: 08/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991193450
- Enrollment ID: I20211102002826
Medical Identifiers
Medical identifiers for Matthew Hale Mauro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154915387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | R195403 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lucid Psychiatric Practice Llc | 5092087445 | 7 |
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 Hale Mauro allows following entities to bill medicare on his behalf.
Entity Name | Lucid Psychiatric Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235660457 PECOS PAC ID: 5092087445 Enrollment ID: O20170818001897 |
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Entity Name | Harmony Counceling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861981276 PECOS PAC ID: 3678829363 Enrollment ID: O20180711001213 |
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Entity Name | 4 2 Restore, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427661883 PECOS PAC ID: 2062889629 Enrollment ID: O20221110002341 |
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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 Hale Mauro 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 Hale Mauro, PMHNP-BC 206 Mustang Ct, Gambrills, MD 21054-1133 Ph: (443) 845-4269 | Matthew Hale Mauro, PMHNP-BC 206 Mustang Ct, Gambrills, MD 21054-1133 Ph: (443) 845-4269 |
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