Matthew Gandy, in Austin, TX - Medicare Nurse Practitioner

Matthew Gandy, is a medicare enrolled "Nurse Practitioner - Family" in Austin, Texas. His current practice location is 2200 Park Bend Dr Ste 401, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 807-3160.

Matthew Gandy is licensed to practice in Texas (license number 1111397) 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 1104525567.

Contact Information

	Matthew Gandy,
	2200 Park Bend Dr Ste 401, Austin, TX 78758-5387
	(512) 807-3160
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Gandy
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2200 Park Bend Dr Ste 401, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104525567
Provider Enumeration Date: 02/24/2023
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8426413204
Enrollment ID: I20230501000810

Medical Identifiers

Medical identifiers for Matthew Gandy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104525567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1111397 (Texas)	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. Matthew Gandy allows following entities to bill medicare on his behalf.

Entity Name	St Davids Heart & Vascular Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700887700 PECOS PAC ID: 7012821879 Enrollment ID: O20031117000103

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. Matthew Gandy 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
Matthew Gandy, 2200 Park Bend Dr Ste 401, Austin, TX 78758-5387 Ph: () -	Matthew Gandy, 2200 Park Bend Dr Ste 401, Austin, TX 78758-5387 Ph: (512) 807-3160

Reviews and Comments

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Matthew Gandy, - Medicare Nurse Practitioner in Austin, TX