Corwin Oswald Demattos, in Grayson, GA - Medicare Nurse Practitioner

Corwin Oswald Demattos, is a medicare enrolled "Nurse Practitioner - Family" in Grayson, Georgia. His current practice location is 1637 Atlanta Hwy Suite A, Grayson, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 344-8268.

Corwin Oswald Demattos is licensed to practice in Georgia (license number 189365) 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 1720617756.

Contact Information

	Corwin Oswald Demattos,
	1637 Atlanta Hwy Suite A, Grayson, GA 30017-3001
	(678) 344-8268
	Not Available

Map and Direction

Provider's Profile

Full Name	Corwin Oswald Demattos
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1637 Atlanta Hwy Suite A, Grayson, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720617756
Provider Enumeration Date: 04/02/2020
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8628429354
Enrollment ID: I20240108003181

Medical Identifiers

Medical identifiers for Corwin Oswald Demattos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720617756	NPI	-	NPPES
054674999	Other	GA	GEORGIA IDENTIFICATION CARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	189365 (Georgia)	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. Corwin Oswald Demattos allows following entities to bill medicare on his behalf.

Entity Name	North Atlanta Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197

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. Corwin Oswald Demattos 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
Corwin Oswald Demattos, 1637 Atlanta Hwy Suite A, Grayson, GA 30017-5942 Ph: (678) 344-8268	Corwin Oswald Demattos, 1637 Atlanta Hwy Suite A, Grayson, GA 30017-3001 Ph: (678) 344-8268

Reviews and Comments

Nurse Practitioner Nurses in Grayson, GA

Mrs. Larresia Hairston Williamson, RN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 Silvertop Dr, Grayson, GA 30017 Phone: 678-458-1877
Miss Pamela Amelia Boyd, MS, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2594 Loganville Hwy Ste 101, Grayson, GA 30017 Phone: 678-225-4999 Fax: 678-225-5546
Laqunita Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2126 Leafmore Ct, Grayson, GA 30017 Phone: 770-339-3005 Fax: 770-339-3005
Chidinma Anuliekette, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 Winding Down Way, Grayson, GA 30017 Phone: 404-200-3670
Ancy Bobby, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2530 Wevok Way, Grayson, GA 30017 Phone: 678-237-3220
Mrs. Ester Teresa Pulliam, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1637 Athens Hwy, Grayson, GA 30017 Phone: 678-344-8268 Fax: 888-627-6444
Deborah K Beyenne, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2594 Loganville Hwy Ste 101, Grayson, GA 30017 Phone: 678-369-2790

Corwin Oswald Demattos, - Medicare Nurse Practitioner in Grayson, GA