Rachel Carol Mathisen, is a medicare enrolled "Nurse Practitioner - Family" in Wagener, South Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rural Urgent Care Llc and her current practice location is
120 Louie St, Wagener, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 564-8803.
Rachel Carol Mathisen is licensed to practice in South Carolina (license number 20972) 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 1679009724.
Provider's Profile
| Full Name | Rachel Carol Mathisen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 120 Louie St, Wagener, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rachel Carol Mathisen graduated from nursing school in 2016
NPI Data:
- NPI Number: 1679009724
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 05/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 6608149349
- Enrollment ID: I20221103002252
Medical Identifiers
Medical identifiers for Rachel Carol Mathisen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679009724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 20972 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rural Urgent Care Llc | 8820305600 | 112 |
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. Rachel Carol Mathisen allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292 |
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| Entity Name | Rural Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20201029003001 |
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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. Rachel Carol Mathisen 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 |
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Rachel Carol Mathisen,
5200 Greystone Summit Dr, Apt 308,
Columbus, GA 31909-7541
Ph: (732) 533-8708 | Rachel Carol Mathisen,
120 Louie St,
Wagener, SC 29164-9445
Ph: (803) 564-8803 |
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