Liju Mathew, in Philadelphia, PA - Medicare Nurse Practitioner

Liju Mathew, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Philadelphia, Pennsylvania. His current practice location is 3257 N 6th St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 634-3976.

Liju Mathew is licensed to practice in Pennsylvania (license number SP027204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477948578.

Contact Information

	Liju Mathew,
	3257 N 6th St, Philadelphia, PA 19140-5644
	(215) 634-3976
	Not Available

Map and Direction

Provider's Profile

Full Name	Liju Mathew
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3257 N 6th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477948578
Provider Enumeration Date: 04/06/2015
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1951606714
Enrollment ID: I20160217000057

Medical Identifiers

Medical identifiers for Liju Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477948578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR16635300 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	SP014671 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ00578100 (New Jersey)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	26NJ00578100 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	26NJ00578100 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	SP014671 (Pennsylvania)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP027204 (Pennsylvania)	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. Liju Mathew allows following entities to bill medicare on his behalf.

Entity Name	Care Connection
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952351660 PECOS PAC ID: 8628982386 Enrollment ID: O20031117000642

Entity Name	Tps Iv Of Pa, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740248905 PECOS PAC ID: 4183685308 Enrollment ID: O20041021000401

Entity Name	Eastern Pennsylvania Physician Alliance, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902440621 PECOS PAC ID: 8325478662 Enrollment ID: O20200428001935

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. Liju Mathew 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
Liju Mathew, 7000 Atrium Way, Ste 6, Mount Laurel, NJ 08054-3917 Ph: (856) 206-4500	Liju Mathew, 3257 N 6th St, Philadelphia, PA 19140-5644 Ph: (215) 634-3976

Reviews and Comments

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Liju Mathew, - Medicare Nurse Practitioner in Philadelphia, PA