Ms Diana Mathew, is a medicare enrolled "Physical Therapist" physician in Cherry Hill, New Jersey. Her current practice location is
7 Carnegie Plz, Cherry Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(877) 407-3422.
Ms Diana Mathew is licensed to practice in New Jersey (license number 40QA01980300) 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 1770001893.
Physician's Profile
| Full Name | Ms Diana Mathew |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 7 Carnegie Plz, Cherry Hill, New Jersey |
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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: 1770001893
- Provider Enumeration Date: 09/08/2017
- Last Update Date: 08/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446635189
- Enrollment ID: I20220916002179
Medical Identifiers
Medical identifiers for Ms Diana Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770001893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 0096201 (New York) | Secondary |
| 225100000X | Physical Therapist | 40QA01980300 (New Jersey) | 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. Ms Diana Mathew allows following entities to bill medicare on her behalf.
| Entity Name | Fox Rehabilitation Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326092503
PECOS PAC ID: 0143133009
Enrollment ID: O20150303000554 |
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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. Ms Diana 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 |
|---|
Ms Diana Mathew,
7 Carnegie Plz,
Cherry Hill, NJ 08003-1000
Ph: (877) 407-3422 | Ms Diana Mathew,
7 Carnegie Plz,
Cherry Hill, NJ 08003-1000
Ph: (877) 407-3422 |
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