Matthew Richard Luttrell, PA-C is a medicare enrolled "Physician Assistant" in Yale, Michigan. His current practice location is
7685 S Brockway, Yale, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 387-3205.
Matthew Richard Luttrell is licensed to practice in Michigan (license number 5601006196) 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 1821369497.
Provider's Profile
Full Name | Matthew Richard Luttrell |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 7685 S Brockway, Yale, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821369497
- Provider Enumeration Date: 01/13/2012
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971765991
- Enrollment ID: I20120508000425
Medical Identifiers
Medical identifiers for Matthew Richard Luttrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821369497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5282 (Arizona) | Secondary |
363A00000X | Physician Assistant | 5601006196 (Michigan) | 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. Matthew Richard Luttrell 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 Richard Luttrell, PA-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: () - | Matthew Richard Luttrell, PA-C 7685 S Brockway, Yale, MI 85715-3475 Ph: (810) 387-3205 |
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