Mr Alfred Matthew Phillips, MD is a medicare enrolled "Emergency Medicine" physician in Minden, Nevada. His current practice location is
925 Ironwood Dr, Minden, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 445-7800.
Mr Alfred Matthew Phillips is licensed to practice in Nevada (license number 14369) 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 1073503462.
Physician's Profile
| Full Name | Mr Alfred Matthew Phillips |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 925 Ironwood Dr, Minden, Nevada |
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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: 1073503462
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 11/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 3274710264
- Enrollment ID: I20120913000175
Medical Identifiers
Medical identifiers for Mr Alfred Matthew Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073503462 | NPI | - | NPPES |
| 632738 | Medicaid | AZ | |
| W6787 | Medicaid | NM | |
| 01262534 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 26253 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 26253 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | 14369 (Nevada) | Primary |
| 207Q00000X | Family Medicine | 14369 (Nevada) | Secondary |
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. Mr Alfred Matthew Phillips allows following entities to bill medicare on his behalf.
| Entity Name | Carson Tahoe Emergency Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396822821
PECOS PAC ID: 7416930573
Enrollment ID: O20040609001476 |
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| Entity Name | Carson Valley Medical Center Rural Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174708879
PECOS PAC ID: 2860579984
Enrollment ID: O20080414000239 |
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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. Mr Alfred Matthew Phillips 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 |
|---|
Mr Alfred Matthew Phillips, MD
925 Ironwood Dr,
Minden, NV 89423-5178
Ph: (775) 445-7800 | Mr Alfred Matthew Phillips, MD
925 Ironwood Dr,
Minden, NV 89423-5178
Ph: (775) 445-7800 |
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