Mr Ian Maxwell Matthews, PMHNP in Marina Del Rey, CA

Mr Ian Maxwell Matthews, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Marina Del Rey, California. His current practice location is 13160 Mindanao Way Ste 213, Marina Del Rey, California. You can reach out to his office (for appointments etc.) via phone at (925) 282-1778.

Mr Ian Maxwell Matthews is licensed to practice in California (license number NP95014083) 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 1467000240.

Contact Information

	Mr Ian Maxwell Matthews, PMHNP
	13160 Mindanao Way Ste 213, Marina Del Rey, CA 90292-6358
	(925) 282-1778
	(415) 296-5299

Map and Direction

Provider's Profile

Full Name	Mr Ian Maxwell Matthews
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13160 Mindanao Way Ste 213, Marina Del Rey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467000240
Provider Enumeration Date: 08/26/2019
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9638501877
Enrollment ID: I20241017003713

Medical Identifiers

Medical identifiers for Mr Ian Maxwell Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467000240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	889538 (New York)	Secondary
163W00000X	Registered Nurse	RN2383657 (Massachusetts)	Secondary
163W00000X	Registered Nurse	RN9636729 (Florida)	Secondary
163W00000X	Registered Nurse	95171771 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC006045 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	405126 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2383657 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11027493 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95014083 (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. Mr Ian Maxwell Matthews allows following entities to bill medicare on his behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

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 Ian Maxwell Matthews 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 Ian Maxwell Matthews, PMHNP 13160 Mindanao Way Ste 213, Marina Del Rey, CA 90292-6358 Ph: (925) 282-1778	Mr Ian Maxwell Matthews, PMHNP 13160 Mindanao Way Ste 213, Marina Del Rey, CA 90292-6358 Ph: (925) 282-1778

Reviews and Comments

Nurse Practitioner Nurses in Marina Del Rey, CA

Holly Nicole Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 888-880-3451
Mrs. Larisa Zabokritskaya, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13209 Fiji Way Unit J, Marina Del Rey, CA 90292 Phone: 310-827-6750
Elisse Vassallo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4676 Admiralty Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-673-3945
Sheila Hernandez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4640 Admiralty Way, Marina Del Rey, CA 90292 Phone: 619-830-4278
Lynn Marie Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13171 Mindanao Way, Marina Del Rey, CA 90292 Phone: 310-821-8908
Dr. Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13400 Washington Blvd Ste 105, Marina Del Rey, CA 90292 Phone: 310-200-8957
Cheryl Catalan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4121 Via Marina, Apt 106, Marina Del Rey, CA 90292 Phone: 347-703-3662

Mr Ian Maxwell Matthews, PMHNP - Medicare Nurse Practitioner in Marina Del Rey, CA