Mrs Vonda Brock Mattingly, APRN, FNP-C in Peabody, MA

Mrs Vonda Brock Mattingly, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Peabody, Massachusetts. Her current practice location is 10 Dearborn Rd, Peabody, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 998-6821.

Mrs Vonda Brock Mattingly is licensed to practice in Kentucky (license number 3009289) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902299522.

Contact Information

	Mrs Vonda Brock Mattingly, APRN, FNP-C
	10 Dearborn Rd, Peabody, MA 01960-8836
	(978) 998-6821
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Vonda Brock Mattingly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10 Dearborn Rd, Peabody, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902299522
Provider Enumeration Date: 03/05/2015
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 3870898299
Enrollment ID: I20160223002121

Medical Identifiers

Medical identifiers for Mrs Vonda Brock Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902299522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1102923 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	3009289 (Kentucky)	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. Mrs Vonda Brock Mattingly allows following entities to bill medicare on her behalf.

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942

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 Vonda Brock Mattingly 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 Vonda Brock Mattingly, APRN, FNP-C 10 Dearborn Rd, Peabody, MA 01960-8836 Ph: (978) 998-6821	Mrs Vonda Brock Mattingly, APRN, FNP-C 10 Dearborn Rd, Peabody, MA 01960-8836 Ph: (978) 998-6821

Reviews and Comments

Nurse Practitioner Nurses in Peabody, MA

Evelyn Marie Dreyer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Jubilee Dr, Peabody, MA 01960 Phone: 877-341-9606
Mrs. Lindsay Madeline Dicker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Centennial Dr, Peabody, MA 01960 Phone: 978-535-1110 Fax: 978-535-2907
Mrs. Gemma Fuller, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 1st Ave, Peabody, MA 01960 Phone: 617-733-1383
Suzanne B Cinelli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 229 Andover St, Peabody, MA 01960 Phone: 617-804-6293
Maura A Mcgovern, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Centennial Dr, Peabody, MA 01960 Phone: 978-531-7677 Fax: 978-531-7690
Catherine Crofoot, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 172 Newbury St, Peabody, MA 01960 Phone: 978-535-9190
Susan R. Brown-zimmerman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Zero Centenial Drive, Cab Health And Recovery, Peabody, MA 01960 Phone: 617-247-1001

Mrs Vonda Brock Mattingly, APRN, FNP-C - Medicare Nurse Practitioner in Peabody, MA