Matthew Roland Nothern, NP PAC is a medicare enrolled "Physician Assistant" in Long Bech, California. His current practice location is
3200 Long Beach Boulevard, Long Bech, California. You can reach out to his office (for appointments etc.) via phone at
(562) 981-6865.
Matthew Roland Nothern is licensed to practice in California (license number A16544) 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 1124117700.
Provider's Profile
| Full Name | Matthew Roland Nothern |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3200 Long Beach Boulevard, Long Bech, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124117700
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 08/31/2010
Medicare PECOS Information:
- PECOS PAC ID: 7810958899
- Enrollment ID: I20050917000482
Medical Identifiers
Medical identifiers for Matthew Roland Nothern such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124117700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | A16544 (California) | Primary |
| 363L00000X | Nurse Practitioner | 13855 (California) | Secondary |
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 Roland Nothern 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 Roland Nothern, NP PAC
1600 E Hill Street,
Signal Hill, CA 90755-3682
Ph: (562) 424-6200 | Matthew Roland Nothern, NP PAC
3200 Long Beach Boulevard,
Long Bech, CA 90806-5062
Ph: (562) 981-6865 |
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