Matthew Henriques, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Stony Brook, New York. His current practice location is
101 Nicolls Rd, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 444-3278.
Matthew Henriques is licensed to practice in * (Not Available) (license number ) 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 1023515343.
Physician's Profile
| Full Name | Matthew Henriques |
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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 | 101 Nicolls Rd, Stony Brook, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023515343
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173961729
- Enrollment ID: I20240402003499
Medical Identifiers
Medical identifiers for Matthew Henriques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023515343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 309615 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Henriques allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Suffolk Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104096049
PECOS PAC ID: 0244396349
Enrollment ID: O20090225000297 |
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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 Henriques 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 Henriques,
101 Nicolls Rd,
Stony Brook, NY 11794-0001
Ph: () - | Matthew Henriques,
101 Nicolls Rd,
Stony Brook, NY 11794-3720
Ph: (631) 444-3278 |
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