Matilda K Koyilla, FNP in Chandler, AZ - Medicare Nurse Practitioner

Matilda K Koyilla, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chandler, Arizona. Her current practice location is 4703 S Pearl Dr, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (419) 392-3400.

Matilda K Koyilla is licensed to practice in Arizona (license number 278576) 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 1598483646.

Contact Information

	Matilda K Koyilla, FNP
	4703 S Pearl Dr, Chandler, AZ 85249-6073
	(419) 392-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Matilda K Koyilla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4703 S Pearl Dr, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598483646
Provider Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9739555673
Enrollment ID: I20221115002270

Medical Identifiers

Medical identifiers for Matilda K Koyilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598483646	NPI	-	NPPES
278576	Other	AZ	RNP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	278576 (Arizona)	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. Matilda K Koyilla allows following entities to bill medicare on her behalf.

Entity Name	Zion Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184049322 PECOS PAC ID: 1355566464 Enrollment ID: O20140703001618

Entity Name	Hassan Akinbiyi Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386115665 PECOS PAC ID: 0143562777 Enrollment ID: O20190501002565

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. Matilda K Koyilla 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
Matilda K Koyilla, FNP 4703 S Pearl Dr, Chandler, AZ 85249-6073 Ph: (419) 392-3400	Matilda K Koyilla, FNP 4703 S Pearl Dr, Chandler, AZ 85249-6073 Ph: (419) 392-3400

Reviews and Comments

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Ms. Jerwonna Glover, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3008 N Dobson Rd Ste 2, Chandler, AZ 85224 Phone: 480-496-2699

Matilda K Koyilla, FNP - Medicare Nurse Practitioner in Chandler, AZ