Tressa Ann Matthews, is a medicare enrolled "Nurse Practitioner - Family" physician in Canton, Mississippi. Her current practice location is
1668 W Peace St, Canton, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 859-5213.
Tressa Ann Matthews is licensed to practice in Mississippi (license number 903119) 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 1992269088.
Physician's Profile
Full Name | Tressa Ann Matthews |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1668 W Peace St, Canton, Mississippi |
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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: 1992269088
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 02/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 8022359975
- Enrollment ID: I20190403000977
Medical Identifiers
Medical identifiers for Tressa Ann Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992269088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 903119 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 903119 (Mississippi) | 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. Tressa Ann Matthews allows following entities to bill medicare on her behalf.
Entity Name | Central Mississippi Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730120502 PECOS PAC ID: 2961398029 Enrollment ID: O20040225000632 |
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Entity Name | Quality Healthcare Resources Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205081437 PECOS PAC ID: 0345305876 Enrollment ID: O20180727001335 |
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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. Tressa Ann Matthews 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 |
Tressa Ann Matthews, 1668 W Peace St, Canton, MS 39046-5332 Ph: (601) 859-5213 | Tressa Ann Matthews, 1668 W Peace St, Canton, MS 39046-5332 Ph: (601) 859-5213 |
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