Tahmores Matin, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Brooklyn, New York. His current practice location is
374 Stockholm St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 963-7272.
Tahmores Matin is licensed to practice in California (license number 682) 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 1558926980.
Physician's Profile
Full Name | Tahmores Matin |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 374 Stockholm St, Brooklyn, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558926980
- Provider Enumeration Date: 05/01/2019
- Last Update Date: 02/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143663252
- Enrollment ID: I20240816001092
Medical Identifiers
Medical identifiers for Tahmores Matin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558926980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 11455 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 682 (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. Tahmores Matin allows following entities to bill medicare on his behalf.
Entity Name | Augusto Focil Md A Professional Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194910422 PECOS PAC ID: 7214024967 Enrollment ID: O20071029000253 |
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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. Tahmores Matin 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 |
Tahmores Matin, MD 1025 N Douty St, Hanford, CA 93230-3722 Ph: (929) 215-4797 | Tahmores Matin, MD 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (718) 963-7272 |
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