Mrs Tania Milad Matta, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in West Richland, Washington. Her current practice location is
3950 Keene Road, West Richland, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 942-3130.
Mrs Tania Milad Matta is licensed to practice in Washington (license number MD00048517) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922027168.
Physician's Profile
Full Name | Mrs Tania Milad Matta |
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Gender | Female |
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Speciality | Pediatrics - Adolescent Medicine |
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Location | 3950 Keene Road, West Richland, Washington |
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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: 1922027168
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 06/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082648332
- Enrollment ID: I20070908000042
Medical Identifiers
Medical identifiers for Mrs Tania Milad Matta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922027168 | NPI | - | NPPES |
8493512 | Medicaid | WA | |
200527760 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | 01060593 (Indiana) | Secondary |
2080A0000X | Pediatrics - Adolescent Medicine | MD00048517 (Washington) | 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. Mrs Tania Milad Matta allows following entities to bill medicare on her behalf.
Entity Name | Kadlec Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
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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 Tania Milad Matta 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 |
Mrs Tania Milad Matta, MD 3900 S Zintel Way, Kennewick, WA 99338 Ph: (509) 942-3627 | Mrs Tania Milad Matta, MD 3950 Keene Road, West Richland, WA 99353 Ph: (509) 942-3130 |
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