Mrs Jatha John Mathew, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Greenville, South Carolina. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health University Medical Group and her current practice location is
701 Grove Rd Fl 5, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 455-4411.
Mrs Jatha John Mathew is licensed to practice in South Carolina (license number 22785) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184285496.
Physician's Profile
| Full Name | Mrs Jatha John Mathew |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 701 Grove Rd Fl 5, Greenville, South Carolina |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Jatha John Mathew graduated from medical school in 2018
NPI Data:
- NPI Number: 1184285496
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 07/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305175191
- Enrollment ID: I20190903003279
Medical Identifiers
Medical identifiers for Mrs Jatha John Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184285496 | NPI | - | NPPES |
| NP6128 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 22785 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 22785 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prisma Health University Medical Group | 8325950983 | 2206 |
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. Mrs Jatha John Mathew allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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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. Mrs Jatha John Mathew 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 |
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Mrs Jatha John Mathew, NP
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: () - | Mrs Jatha John Mathew, NP
701 Grove Rd Fl 5,
Greenville, SC 29605-4295
Ph: (864) 455-4411 |
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