Raphael Josy Mattamal, MD in Amarillo, TX

Raphael Josy Mattamal, MD is a medicare enrolled "Pediatrics" physician in Amarillo, Texas. His current practice location is 1400 S Coulter St, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 414-9800.

Raphael Josy Mattamal is licensed to practice in Texas (license number R4092) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679993034.

Contact Information

	Raphael Josy Mattamal, MD
	1400 S Coulter St, Amarillo, TX 79106-1786
	(806) 414-9800
	(806) 354-5689

Map and Direction

Physician's Profile

Full Name	Raphael Josy Mattamal
Gender	Male
Speciality	Pediatrics
Location	1400 S Coulter St, Amarillo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679993034
Provider Enumeration Date: 04/23/2014
Last Update Date: 02/23/2018

Medicare PECOS Information:

PECOS PAC ID: 5193021681
Enrollment ID: I20170818000754

Medical Identifiers

Medical identifiers for Raphael Josy Mattamal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679993034	NPI	-	NPPES
374825301	Medicaid	TX
374825302	Medicaid	TX
73172511	Medicaid	NM
200725100A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	45997 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	582589 (Texas)	Secondary
208000000X	Pediatrics	R4092 (Texas)	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. Raphael Josy Mattamal allows following entities to bill medicare on his behalf.

Entity Name	Texas Tech University Health Sciences Center Amarillo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051

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. Raphael Josy Mattamal 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
Raphael Josy Mattamal, MD 1400 Wallace Blvd, Amarillo, TX 79106-1708 Ph: (806) 414-9800	Raphael Josy Mattamal, MD 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9800

Reviews and Comments

Pediatrics Doctors in Amarillo, TX

Mrs. Cynthia Milagros Correa-colon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703
Dr. Kinsley Ann Stepka, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St Ste 1500, Amarillo, TX 79106 Phone: 806-414-9800
Muhammad Asif Qureshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-354-5630 Fax: 806-354-5568
Shu Shum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1801 Halstead St, Amarillo, TX 79106 Phone: 806-358-8526 Fax: 806-358-0179
Robin Elaine Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6305 Sunlake Dr, Amarillo, TX 79124 Phone: 806-352-1020
Jason Nirgiotis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9800 Fax: 806-354-5689
Dr. Debbie Pamela Hoving, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi Park Dr Ste 200, Amarillo, TX 79106 Phone: 806-468-4350 Fax: 806-468-4351

Raphael Josy Mattamal, MD - Medicare Pediatrics in Amarillo, TX