Katherine Michelle Mattingly, PA is a medicare enrolled "Hospitalist" in Charlotte, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is
10650 Park Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 667-3840.
Katherine Michelle Mattingly is licensed to practice in North Carolina (license number 0010-08768) 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 1003372079.
Provider's Profile
| Full Name | Katherine Michelle Mattingly |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 10650 Park Rd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katherine Michelle Mattingly graduated from nursing school in 2018
NPI Data:
- NPI Number: 1003372079
- Provider Enumeration Date: 02/14/2019
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315288586
- Enrollment ID: I20190416002818
Medical Identifiers
Medical identifiers for Katherine Michelle Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003372079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0010-08768 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 0010-08768 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carolinas Physicians Network Inc | 3375449655 | 1649 |
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. Katherine Michelle Mattingly 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 |
|---|
Katherine Michelle Mattingly, PA
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Katherine Michelle Mattingly, PA
10650 Park Rd,
Charlotte, NC 28210-8538
Ph: (704) 667-3840 |
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