Karen M Jennings Mathis, PMHNP-BC in Providence, RI

Karen M Jennings Mathis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Providence, Rhode Island. Her current practice location is 2 Dudley St Ste 560, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 453-7955.

Karen M Jennings Mathis is licensed to practice in Rhode Island (license number APRN01971) 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 1689954893.

Contact Information

	Karen M Jennings Mathis, PMHNP-BC
	2 Dudley St Ste 560, Providence, RI 02905-3230
	(401) 453-7955
	Not Available

Map and Direction

Provider's Profile

Full Name	Karen M Jennings Mathis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2 Dudley St Ste 560, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689954893
Provider Enumeration Date: 08/18/2011
Last Update Date: 05/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1355652686
Enrollment ID: I20220609001440

Medical Identifiers

Medical identifiers for Karen M Jennings Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689954893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2267972 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN01971 (Rhode Island)	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. Karen M Jennings Mathis allows following entities to bill medicare on her behalf.

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089

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. Karen M Jennings 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
Karen M Jennings Mathis, PMHNP-BC 455 Tollgate Rd, Professional Revenue Cycle And Credentialing, Warwick, RI 02886-2759 Ph: (012) 730-6414	Karen M Jennings Mathis, PMHNP-BC 2 Dudley St Ste 560, Providence, RI 02905-3230 Ph: (401) 453-7955

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Karen M Jennings Mathis, PMHNP-BC - Medicare Nurse Practitioner in Providence, RI