Kenneth E Mathis, RPA is a medicare enrolled "Physician Assistant" in Waterloo, New York. His current practice location is
367 E Main St, Waterloo, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 787-4977.
Kenneth E Mathis is licensed to practice in New York (license number 003372) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518053719.
Provider's Profile
| Full Name | Kenneth E Mathis |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 367 E Main St, Waterloo, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Kenneth E Mathis attended and graduated from in
NPI Data:
- NPI Number: 1518053719
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 10/05/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenneth E Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518053719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 003372 (New York) | 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. Kenneth E 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 |
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Kenneth E Mathis, RPA
196 North St,
Geneva, NY 14456-1651
Ph: () - | Kenneth E Mathis, RPA
367 E Main St,
Waterloo, NY 13165-1643
Ph: (315) 787-4977 |
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