Liss Mathew, in Foothill Ranch, CA - Medicare Nurse Practitioner

Liss Mathew, is a medicare enrolled "Nurse Practitioner - Primary Care" in Foothill Ranch, California. Her current practice location is 44 Tavella Pl, Foothill Ranch, California. You can reach out to her office (for appointments etc.) via phone at (949) 872-3369.

Liss Mathew is licensed to practice in California (license number 95006760) 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 1336669548.

Contact Information

	Liss Mathew,
	44 Tavella Pl, Foothill Ranch, CA 92610-2204
	(949) 872-3369
	Not Available

Map and Direction

Provider's Profile

Full Name	Liss Mathew
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	44 Tavella Pl, Foothill Ranch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336669548
Provider Enumeration Date: 06/20/2017
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 7416368758
Enrollment ID: I20201118000770

Medical Identifiers

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

Identifier	Type	State	Issuer
1336669548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95006760 (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. Liss Mathew allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Liss 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
Liss Mathew, 44 Tavella Pl, Foothill Ranch, CA 92610-2204 Ph: () -	Liss Mathew, 44 Tavella Pl, Foothill Ranch, CA 92610-2204 Ph: (949) 872-3369

Reviews and Comments

Nurse Practitioner Nurses in Foothill Ranch, CA

Dr. Angie Ellaboudy, DNP, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26700 Towne Centre Dr Ste 150, Foothill Ranch, CA 92610 Phone: 949-837-7337
Maryam Gulraiz, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26632 Towne Centre Dr Ste 300, Foothill Ranch, CA 92610 Phone: 949-620-6397
Denise Kaur Schweigert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 281 Chaumont Cir, Foothill Ranch, CA 92610 Phone: 949-300-1148
Ya Ju Peralta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Carriage Dr, Foothill Ranch, CA 92610 Phone: 949-899-4540
Shannon M Shaffer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Parterre Ave, Foothill Ranch, CA 92610 Phone: 619-890-4786
Mrs. Parya Visheh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26730 Towne Centre Dr Ste 102, Foothill Ranch, CA 92610 Phone: 949-559-5153 Fax: 949-559-5252

Liss Mathew, - Medicare Nurse Practitioner in Foothill Ranch, CA