Shanice Mary Ann Matos, PMHNP in Raeford, NC - Medicare Nurse Practitioner

Shanice Mary Ann Matos, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Raeford, North Carolina. Her current practice location is 131 W Edinborough Ave, Raeford, North Carolina. You can reach out to her office (for appointments etc.) via phone at (917) 251-1167.

Shanice Mary Ann Matos is licensed to practice in North Carolina (license number 5017790) 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 1427759059.

Contact Information

	Shanice Mary Ann Matos, PMHNP
	131 W Edinborough Ave, Raeford, NC 28376-2825
	(917) 251-1167
	Not Available

Map and Direction

Provider's Profile

Full Name	Shanice Mary Ann Matos
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	131 W Edinborough Ave, Raeford, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427759059
Provider Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3476928714
Enrollment ID: I20230418002837

Medical Identifiers

Medical identifiers for Shanice Mary Ann Matos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427759059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5017790 (North Carolina)	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. Shanice Mary Ann Matos allows following entities to bill medicare on her behalf.

Entity Name	Haymount Institute For Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528239993 PECOS PAC ID: 1153498415 Enrollment ID: O20080929000365

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. Shanice Mary Ann Matos 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
Shanice Mary Ann Matos, PMHNP 350 Royal Birkdale Dr, Raeford, NC 28376-8956 Ph: (917) 251-1167	Shanice Mary Ann Matos, PMHNP 131 W Edinborough Ave, Raeford, NC 28376-2825 Ph: (917) 251-1167

Reviews and Comments

Nurse Practitioner Nurses in Raeford, NC

Caroline Robinson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 683 E Palmer Rd, Raeford, NC 28376 Phone: 910-875-3717 Fax: 910-875-6351
Shannon Telis Merwin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 929 W Prospect Rd, Raeford, NC 28376 Phone: 910-904-1695 Fax: 910-904-1767
Gladys Nyambura Dorsey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 E Palmer St, Raeford, NC 28376 Phone: 910-875-3717
Jennifer Picerno Bowyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 929 Prospect Ave., Raeford, NC 28376 Phone: 910-904-1695
Natalie Headley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 S Main St, Raeford, NC 28376 Phone: 910-615-5800
Mrs. Kathy Sanders Settle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Birch St, Ste B, Raeford, NC 28376 Phone: 910-904-6600
Mrs. Sarah Allen Fazekas, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 S Main St, Raeford, NC 28376 Phone: 910-615-5800 Fax: 910-875-0309

Shanice Mary Ann Matos, PMHNP - Medicare Nurse Practitioner in Raeford, NC