Nichole Renee Matlick, MD - Medicare Pediatrics in Newport Beach, CA

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Nichole Renee Matlick, MD is a medicare enrolled "Pediatrics" physician in Newport Beach, California. Her current practice location is 510 Superior Ave Ste 200d, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 791-3001.

Nichole Renee Matlick is licensed to practice in California (license number A105016) 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 1982891396.

Contact Information

Nichole Renee Matlick, MD
510 Superior Ave Ste 200d,
Newport Beach, CA 92663
(949) 791-3001
Not Available

Map and Direction




Physician's Profile

Full NameNichole Renee Matlick
GenderFemale
SpecialityPediatrics
Location510 Superior Ave Ste 200d, Newport Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982891396
  • Provider Enumeration Date: 09/29/2007
  • Last Update Date: 10/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163614777
  • Enrollment ID: I20101013001198

Medical Identifiers

Medical identifiers for Nichole Renee Matlick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982891396NPI-NPPES
A105016OtherCASTATE MEDICAL BOARD LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist A105016 (California)Secondary
208000000XPediatrics A105016 (California)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. Nichole Renee Matlick allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameHoag Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942799523
PECOS PAC ID: 3274872064
Enrollment ID: O20190221001936

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. Nichole Renee Matlick 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 AddressPractice Location Address
Nichole Renee Matlick, MD
510 Superior Ave Ste 200d,
Newport Beach, CA 92663-3664

Ph: (949) 791-3001		Nichole Renee Matlick, MD
510 Superior Ave Ste 200d,
Newport Beach, CA 92663

Ph: (949) 791-3001

Reviews and Comments


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Sameen Naqvi, DO
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Kristine Brown, M.D.
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Medicare: Medicare Enrolled
Practice Location: 510 Superior Ave Ste 200d, Newport Beach, CA 92663
Phone: 949-791-3001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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