Destiny Perry Mathis, in Montgomery, AL - Medicare Registered Nurse

Destiny Perry Mathis, is a medicare enrolled "Registered Nurse" in Montgomery, Alabama. Her current practice location is 1725 Pine St, Montgomery, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 293-8000.

Destiny Perry Mathis is licensed to practice in Alabama (license number 1-169725) 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 1609452630.

Contact Information

	Destiny Perry Mathis,
	1725 Pine St, Montgomery, AL 36106-1109
	(334) 293-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Destiny Perry Mathis
Gender	Female
Speciality	Registered Nurse
Location	1725 Pine St, Montgomery, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609452630
Provider Enumeration Date: 03/21/2021
Last Update Date: 03/21/2021

Medicare PECOS Information:

PECOS PAC ID: 9335507334
Enrollment ID: I20230623001345

Medical Identifiers

Medical identifiers for Destiny Perry Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609452630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-169725 (Alabama)	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. Destiny Perry Mathis allows following entities to bill medicare on her behalf.

Entity Name	Jackson Hospital And Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971

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. Destiny Perry Mathis 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
Destiny Perry Mathis, 1725 Pine St, Montgomery, AL 36106-1109 Ph: () -	Destiny Perry Mathis, 1725 Pine St, Montgomery, AL 36106-1109 Ph: (334) 293-8000

Reviews and Comments

Registered Nurse Nurses in Montgomery, AL

Sandy Revens, RN, BSN, B-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2637 Eastern Blvd, Montgomery, AL 36117 Phone: 334-409-9090 Fax: 334-409-9669
Miss Ashley Spear, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 400 Taylor Rd Ofc, Montgomery, AL 36117 Phone: 334-747-8589
Ashley Harris, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1720 W 3rd St, Montgomery, AL 36106 Phone: 334-649-2966
Kimberly Ann Hindi, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1801 Pine St, Ste 302, Montgomery, AL 36106 Phone: 334-264-7842
John White, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Interstate Park Dr Ste 100, Montgomery, AL 36109 Phone: 334-356-3911
Ms. Yolanda M Taylor, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1284 Perry Hill Rd Ste G, Montgomery, AL 36109 Phone: 334-782-1595
Earnestine Alexander, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3477 Cross Creek Dr, Montgomery, AL 36116 Phone: 334-462-8931 Fax: 334-281-9052

Destiny Perry Mathis, - Medicare Registered Nurse in Montgomery, AL