Mr Edgar Ivan Matamoros, PMHNP-BC in Davie, FL

Mr Edgar Ivan Matamoros, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Davie, Florida. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice South Broward Hospital District and his current practice location is 5595 S University Dr, Davie, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 276-3400.

Mr Edgar Ivan Matamoros is licensed to practice in Florida (license number APRN9397926) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801308317.

Contact Information

	Mr Edgar Ivan Matamoros, PMHNP-BC
	5595 S University Dr, Davie, FL 33328-5307
	(954) 276-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Edgar Ivan Matamoros
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	5595 S University Dr, Davie, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Edgar Ivan Matamoros graduated from nursing school in 2017

NPI Data:

NPI Number: 1801308317
Provider Enumeration Date: 10/25/2017
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7012279037
Enrollment ID: I20180402001648

Medical Identifiers

Medical identifiers for Mr Edgar Ivan Matamoros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801308317	NPI	-	NPPES
023991800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN9397926 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Broward Hospital District	8123927373	537

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. Mr Edgar Ivan Matamoros allows following entities to bill medicare on his behalf.

Entity Name	South Broward Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609884154 PECOS PAC ID: 8123927373 Enrollment ID: O20040107000217

Entity Name	Osceola Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346287240 PECOS PAC ID: 2062313703 Enrollment ID: O20040116000075

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. Mr Edgar Ivan Matamoros 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
Mr Edgar Ivan Matamoros, PMHNP-BC 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5685	Mr Edgar Ivan Matamoros, PMHNP-BC 5595 S University Dr, Davie, FL 33328-5307 Ph: (954) 276-3400

Reviews and Comments

Nurse Practitioner Nurses in Davie, FL

Alexa Bock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Olde Moat Way, Davie, FL 33331 Phone: 954-328-0736
Shashtika Ghimire Guragain, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5595 S University Dr, Davie, FL 33328 Phone: 954-276-3400 Fax: 954-276-0644
Meisha Escoffery, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13380 Sw 29th Ct, Davie, FL 33330 Phone: 954-614-7611
Mrs. Martine Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 N. University Dr., Davie, FL 33024 Phone: 954-804-6607
Ms. Tiffany Marie Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4610 S University Dr, Davie, FL 33328 Phone: 954-434-2002
Jean Paul Sainvil, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2264 Nova Village Dr, Davie, FL 33317 Phone: 305-761-6143
Charlotte Lee Vinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10181 Sw 18th St, Davie, FL 33324 Phone: 954-330-3565

Mr Edgar Ivan Matamoros, PMHNP-BC - Medicare Nurse Practitioner in Davie, FL