Otsenre E Matos, MD is a
Psychiatry & Neurology - Psychiatry physician based in New Prt Rchy, Florida. Otsenre E Matos is licensed to practice in Florida (license number ME0022865) and his current practice location is 4821 Us Highway 19 Ste 1, New Prt Rchy, Florida. He can be reached at his office (for appointments etc.) via phone at
(727) 849-2005.
NPI number for Otsenre E Matos is 1679553481 and his current mailing address is Po Box 1014, Elfers, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679553481.
Physician's Profile
| Full Name | Otsenre E Matos |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 4821 Us Highway 19 Ste 1, New Prt Rchy, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679553481
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 11/19/2007
Medical Identifiers
Medical identifiers for Otsenre E Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679553481 | NPI | - | NPPES |
| 92235 | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0022865 (Florida) | Primary |
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. Otsenre E Matos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Otsenre E Matos, MD
Po Box 1014,
Elfers, FL 34680-1014
Ph: (727) 849-2005 | Otsenre E Matos, MD
4821 Us Highway 19 Ste 1,
New Prt Rchy, FL 34652-4259
Ph: (727) 849-2005 |
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