Bony Mathew, FNP-BC in Palm Springs, CA - Medicare Nurse Practitioner

Bony Mathew, FNP-BC is a medicare enrolled "Nurse Practitioner" in Palm Springs, California. His current practice location is 558 S Paseo Dorotea Ste 6, Palm Springs, California. You can reach out to his office (for appointments etc.) via phone at (760) 423-4000.

Bony Mathew is licensed to practice in California (license number 95022391) 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 1174282099.

Contact Information

	Bony Mathew, FNP-BC
	558 S Paseo Dorotea Ste 6, Palm Springs, CA 92264-1429
	(760) 423-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Bony Mathew
Gender	Male
Speciality	Nurse Practitioner
Location	558 S Paseo Dorotea Ste 6, Palm Springs, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174282099
Provider Enumeration Date: 12/08/2021
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1658729231
Enrollment ID: I20231120002235

Medical Identifiers

Medical identifiers for Bony Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174282099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.023999 (Illinois)	Secondary
363L00000X	Nurse Practitioner	95022391 (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. Bony Mathew allows following entities to bill medicare on his behalf.

Entity Name	Contour Dermatology And Cosmetic Surgery Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063502227 PECOS PAC ID: 5890716146 Enrollment ID: O20051214000328

Entity Name	Homan A Zadeh Md Mph Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891026373 PECOS PAC ID: 8426189507 Enrollment ID: O20100708000640

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. Bony Mathew 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
Bony Mathew, FNP-BC 620 S Thornhill Rd Apt 1, Palm Springs, CA 92264-2725 Ph: () -	Bony Mathew, FNP-BC 558 S Paseo Dorotea Ste 6, Palm Springs, CA 92264-1429 Ph: (760) 423-4000

Reviews and Comments

Nurse Practitioner Nurses in Palm Springs, CA

Lynn Rochele Lopez Santos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Indian Canyon Dr Ste W304, Palm Springs, CA 92262 Phone: 760-322-9562
Alicia Berenice Rios, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E420, Palm Springs, CA 92262 Phone: 760-778-7147
Mr. Matthew Gabriel Moran, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262 Phone: 760-299-6487
Madeline Elizabeth Ramirez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 S Palm Canyon Dr, Palm Springs, CA 92264 Phone: 760-969-7770 Fax: 760-969-7771
Tina Michelle Huff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 N El Cielo Rd Ste D-402, Palm Springs, CA 92262 Phone: 760-320-8814
Ms. Beverly A Kram, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 S Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-568-2684 Fax: 760-341-5832
Ms. Ann Marie Ala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262 Phone: 760-327-1188 Fax: 760-322-2886

Bony Mathew, FNP-BC - Medicare Nurse Practitioner in Palm Springs, CA