Mrs Brandy Renee Matus, LPN is a
Licensed Practical Nurse based in Dallas, Oregon. Mrs Brandy Renee Matus is licensed to practice in Oregon (license number 201130493LPN) and her current practice location is
182 Sw Academy St, Dallas, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 623-9289.
NPI number for Mrs Brandy Renee Matus is 1447513247 and her current mailing address is 182 Sw Academy St, Dallas, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447513247.
Provider's Profile
Full Name | Mrs Brandy Renee Matus |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 182 Sw Academy St, Dallas, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447513247
- Provider Enumeration Date: 06/18/2012
- Last Update Date: 06/18/2012
Medical Identifiers
Medical identifiers for Mrs Brandy Renee Matus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447513247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 201130493LPN (Oregon) | 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. Mrs Brandy Renee Matus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Brandy Renee Matus, LPN 182 Sw Academy St, Dallas, OR 97338-1922 Ph: (503) 623-9289 | Mrs Brandy Renee Matus, LPN 182 Sw Academy St, Dallas, OR 97338-1922 Ph: (503) 623-9289 |
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