Swarna Matsa, MD - Medicare Internal Medicine in Plano, TX

Swarna Matsa, MD is a medicare enrolled "Internal Medicine" physician in Plano, Texas. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Questcare Hospitalists Pllc and her current practice location is 3901 W 15th St, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 596-6800.

Swarna Matsa is licensed to practice in Texas (license number T4426) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245548536.

Contact Information

Swarna Matsa, MD
3901 W 15th St,
Plano, TX 75075-7738
(972) 596-6800
Not Available

Map and Direction




Physician's Profile

Full NameSwarna Matsa
GenderFemale
SpecialityInternal Medicine
Experience19 Years
Location3901 W 15th St, Plano, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Swarna Matsa graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1245548536
  • Provider Enumeration Date: 09/20/2010
  • Last Update Date: 09/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961646328
  • Enrollment ID: I20220915003991

Medical Identifiers

Medical identifiers for Swarna Matsa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245548536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036.131399 (Illinois)Secondary
208M00000XHospitalist 036.131399 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program 125057371 (Illinois)Secondary
207R00000XInternal Medicine T4426 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical City PlanoPlano, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Questcare Hospitalists Pllc5799785119310

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. Swarna Matsa allows following entities to bill medicare on her behalf.
Entity NameQuestcare Hospitalists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265441620
PECOS PAC ID: 5799785119
Enrollment ID: O20070109000581

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. Swarna Matsa 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
Swarna Matsa, MD
3901 W 15th St,
Plano, TX 75075-7738

Ph: (972) 596-6800
Swarna Matsa, MD
3901 W 15th St,
Plano, TX 75075-7738

Ph: (972) 596-6800

Reviews and Comments


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Dr. Maria Love Lee, M.D.
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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.