Kelly Lynn Matijega, CNM is a
Advanced Practice Midwife based in Macomb, Michigan. Kelly Lynn Matijega is licensed to practice in Michigan (license number 4704303979) and her current practice location is
19991 Hall Rd Ste 105, Macomb, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 247-8609.
NPI number for Kelly Lynn Matijega is 1629732672 and her current mailing address is 14453 Shadywood Dr, Sterling Heights, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629732672.
Provider's Profile
Full Name | Kelly Lynn Matijega |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 19991 Hall Rd Ste 105, Macomb, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629732672
- Provider Enumeration Date: 10/26/2021
- Last Update Date: 10/26/2021
Medical Identifiers
Medical identifiers for Kelly Lynn Matijega such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629732672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 4704303979 (Michigan) | Primary |
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 Lynn Matijega is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Lynn Matijega, CNM 14453 Shadywood Dr, Sterling Heights, MI 48312-3432 Ph: (248) 408-6718 | Kelly Lynn Matijega, CNM 19991 Hall Rd Ste 105, Macomb, MI 48044-4254 Ph: (586) 247-8609 |
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