Matthew Tobias Mccauley, CRNP is a medicare enrolled "Nurse Practitioner" in Woodville, Alabama. His current practice location is
13624 County Road 8, Woodville, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 776-5615.
Matthew Tobias Mccauley is licensed to practice in Alabama (license number 1-126825) 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 1700151396.
Provider's Profile
| Full Name | Matthew Tobias Mccauley |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 13624 County Road 8, Woodville, Alabama |
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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: 1700151396
- Provider Enumeration Date: 03/14/2012
- Last Update Date: 10/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 5991952541
- Enrollment ID: I20120904000483
Medical Identifiers
Medical identifiers for Matthew Tobias Mccauley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700151396 | NPI | - | NPPES |
| 51128618 | Other | AL | BC/BS OF ALABAMA |
| 145163 | Medicaid | AL | |
| 142430 | Medicaid | AL | |
| 1700151396 | Other | AL | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1-126825 (Alabama) | 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 Tobias Mccauley allows following entities to bill medicare on his behalf.
| Entity Name | Shalom Family Practice And Medical Spa Llc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154020667
PECOS PAC ID: 4688049687
Enrollment ID: O20230405000278 |
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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 Tobias Mccauley 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 Tobias Mccauley, CRNP
309 Taylor St,
Scottsboro, AL 35768-2421
Ph: (256) 259-5313 | Matthew Tobias Mccauley, CRNP
13624 County Road 8,
Woodville, AL 35776-6162
Ph: (256) 776-5615 |
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