Matthew Wayne Woolverton, in Colton, CA - Medicare Nurse Anesthetist, Certified Registered

Matthew Wayne Woolverton, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. His current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 580-2400.

Matthew Wayne Woolverton is licensed to practice in California (license number 95001087) 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 1790250637.

Contact Information

	Matthew Wayne Woolverton,
	400 N Pepper Ave, Colton, CA 92324-1819
	(909) 580-2400
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Wayne Woolverton
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790250637
Provider Enumeration Date: 10/08/2018
Last Update Date: 08/12/2021

Medicare PECOS Information:

PECOS PAC ID: 4284975103
Enrollment ID: I20190402002654

Medical Identifiers

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

Identifier	Type	State	Issuer
1790250637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	790267 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001087 (California)	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 Wayne Woolverton allows following entities to bill medicare on his behalf.

Entity Name	Inland Empire Anesthesia Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861502841 PECOS PAC ID: 1052310331 Enrollment ID: O20061214000268

Entity Name	San Gabriel Anesthesia Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538424908 PECOS PAC ID: 3678720604 Enrollment ID: O20120828000023

Entity Name	Marquee Anesthesia Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760942619 PECOS PAC ID: 6204169006 Enrollment ID: O20190611000748

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 Wayne Woolverton 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 Wayne Woolverton, Po Box 34120, Reno, NV 89533-4120 Ph: (775) 747-5050	Matthew Wayne Woolverton, 400 N Pepper Ave, Colton, CA 92324-1819 Ph: (909) 580-2400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Cheryl Sisler Carr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Anesthesia Dept, 2nd Floor, Colton, CA 92324 Phone: 909-580-2440

Matthew Wayne Woolverton, - Medicare Nurse Anesthetist, Certified Registered in Colton, CA