Kelly Doyle-matta, PA-C in Fairfield, CA - Medicare Physician Assistant

Kelly Doyle-matta, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fairfield, California. Her current practice location is 2201 Courage Dr, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 784-2010.

Kelly Doyle-matta is licensed to practice in California (license number PA10957) 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 1598952335.

Contact Information

	Kelly Doyle-matta, PA-C
	2201 Courage Dr, Fairfield, CA 94533-6733
	(707) 784-2010
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Doyle-matta
Gender	Female
Speciality	Physician Assistant - Medical
Location	2201 Courage Dr, Fairfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598952335
Provider Enumeration Date: 09/25/2007
Last Update Date: 03/17/2012

Medicare PECOS Information:

PECOS PAC ID: 1153583588
Enrollment ID: I20120501000809

Medical Identifiers

Medical identifiers for Kelly Doyle-matta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598952335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA10957 (California)	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. Kelly Doyle-matta allows following entities to bill medicare on her behalf.

Entity Name	County Of Solano
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508072588 PECOS PAC ID: 7911893177 Enrollment ID: O20040224001362

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. Kelly Doyle-matta 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
Kelly Doyle-matta, PA-C 2201 Courage Dr, Fairfield, CA 94533-6733 Ph: (707) 784-2010	Kelly Doyle-matta, PA-C 2201 Courage Dr, Fairfield, CA 94533-6733 Ph: (707) 784-2010

Reviews and Comments

Physician Assistant Nurses in Fairfield, CA

Lyubov Lupyan-teytelman, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1261 Travis Blvd, Suite 170, Fairfield, CA 94533 Phone: 707-399-9200 Fax: 707-399-9222
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Shannon Marie Malouf, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2001 Fax: 707-784-1494
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Jennifer Barbara Veliz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2702 Low Ct, Fairfield, CA 94534 Phone: 707-432-2600 Fax: 707-432-2651
Larry W. Calfee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1234 Empire St, Fairfield, CA 94533 Phone: 707-426-3911 Fax: 707-434-2073
Mrs. Elizabeth Milne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Hilborn Rd, Fairfield, CA 94534 Phone: 707-646-5599 Fax: 707-646-5571

Kelly Doyle-matta, PA-C - Medicare Physician Assistant in Fairfield, CA