Mrs Tania Marie Mattioli, NP in Winston Salem, NC

Mrs Tania Marie Mattioli, NP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc and her current practice location is 190 Kimel Park Dr Ste 155, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 765-6637.

Mrs Tania Marie Mattioli is licensed to practice in North Carolina (license number 5006244) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396184362.

Contact Information

	Mrs Tania Marie Mattioli, NP
	190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946
	(336) 765-6637
	(336) 765-6964

Map and Direction

Provider's Profile

Full Name	Mrs Tania Marie Mattioli
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	190 Kimel Park Dr Ste 155, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tania Marie Mattioli graduated from nursing school in 2013

NPI Data:

NPI Number: 1396184362
Provider Enumeration Date: 06/22/2013
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5890939326
Enrollment ID: I20130923000539

Medical Identifiers

Medical identifiers for Mrs Tania Marie Mattioli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396184362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209505 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5006244 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5006244 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Mrs Tania Marie Mattioli allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Tania Marie Mattioli 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
Mrs Tania Marie Mattioli, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Mrs Tania Marie Mattioli, NP 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 Ph: (336) 765-6637

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Mrs Tania Marie Mattioli, NP - Medicare Nurse Practitioner in Winston Salem, NC