Sean E Mathis, PNP - Medicare Nurse Practitioner in Washington, DC

Sean E Mathis, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Washington, District Of Columbia. His current practice location is 111 Michigan Ave Nw, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 476-5000.

Sean E Mathis is licensed to practice in District Of Columbia (license number NP1041339) 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 1962158550.

Contact Information

Sean E Mathis, PNP
111 Michigan Ave Nw,
Washington, DC 20010-2916
(202) 476-5000
Not Available

Map and Direction




Provider's Profile

Full NameSean E Mathis
GenderMale
SpecialityNurse Practitioner - Pediatrics, Critical Care
Location111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962158550
  • Provider Enumeration Date: 02/23/2022
  • Last Update Date: 02/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385031889
  • Enrollment ID: I20220502002477

Medical Identifiers

Medical identifiers for Sean E Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962158550NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0222XNurse Practitioner - Pediatrics, Critical Care NP1041339 (District Of Columbia)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. Sean E Mathis allows following entities to bill medicare on his behalf.
Entity NameChildrens Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912939703
PECOS PAC ID: 0244143170
Enrollment ID: O20031107000130

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. Sean E Mathis 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 AddressPractice Location Address
Sean E Mathis, PNP
1391 Pennsylvania Ave Se Unit 541,
Washington, DC 20003-3091

Ph: (314) 805-3526
Sean E Mathis, PNP
111 Michigan Ave Nw,
Washington, DC 20010-2916

Ph: (202) 476-5000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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