Mr Matthew Carrico, PA-C is a medicare enrolled "Physician Assistant" in Camden, Tennessee. His current practice location is
284 Highway 641 N, Camden, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 213-2446.
Mr Matthew Carrico is licensed to practice in Tennessee (license number 5090) 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 1467195594.
Provider's Profile
| Full Name | Mr Matthew Carrico |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 284 Highway 641 N, Camden, Tennessee |
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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: 1467195594
- Provider Enumeration Date: 04/17/2022
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749664381
- Enrollment ID: I20220831003024
Medical Identifiers
Medical identifiers for Mr Matthew Carrico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467195594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5090 (Tennessee) | Primary |
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 Matthew Carrico 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 Matthew Carrico, PA-C
1511 Highway 69 S,
Paris, TN 38242-8636
Ph: (731) 363-9265 | Mr Matthew Carrico, PA-C
284 Highway 641 N,
Camden, TN 38320-1350
Ph: (731) 213-2446 |
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