Jaiba Paul Mathew, AGACNP-BC in Atlanta, GA - Medicare Nurse Practitioner

Jaiba Paul Mathew, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Atlanta, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 980 Johnson Fy Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 252-0256.

Jaiba Paul Mathew is licensed to practice in Georgia (license number RN207189) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669090460.

Contact Information

	Jaiba Paul Mathew, AGACNP-BC
	980 Johnson Fy Rd Ne, Atlanta, GA 30342-1626
	(404) 252-0256
	(404) 252-0256

Map and Direction

Provider's Profile

Full Name	Jaiba Paul Mathew
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	980 Johnson Fy Rd Ne, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaiba Paul Mathew graduated from nursing school in 2019

NPI Data:

NPI Number: 1669090460
Provider Enumeration Date: 07/08/2020
Last Update Date: 07/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3274959432
Enrollment ID: I20200818003094

Medical Identifiers

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

Identifier	Type	State	Issuer
1669090460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN207189 (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN207189 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph's Hospital Of Atlanta, Inc	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

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. Jaiba Paul Mathew allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Entity Name	North Atlanta Kidney Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598872434 PECOS PAC ID: 6406857127 Enrollment ID: O20070124000161

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. Jaiba Paul 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
Jaiba Paul Mathew, AGACNP-BC 840 Streamview Way, Alpharetta, GA 30004-5954 Ph: (832) 692-8396	Jaiba Paul Mathew, AGACNP-BC 980 Johnson Fy Rd Ne, Atlanta, GA 30342-1626 Ph: (404) 252-0256

Reviews and Comments

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Tracy Purcell Nicholas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Piedmont Hospital Transplant Services, Atlanta, GA 30309 Phone: 404-605-4602
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Valerie S Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Brittany Kathryn Suchanek, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-785-5252
Janika Montgomery, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Park Place Se, 5th Floor, Atlanta, GA 30303 Phone: 404-613-1205
Nicole Coolidge, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6330 Fax: 404-785-6266

Jaiba Paul Mathew, AGACNP-BC - Medicare Nurse Practitioner in Atlanta, GA