Shayla Matthews, is a medicare enrolled "Nurse Practitioner - Family" in View Park, California. Her current practice location is
5118 Escalon Ave, View Park, California. You can reach out to her office (for appointments etc.) via phone at
(323) 854-0552.
Shayla Matthews is licensed to practice in California (license number 95017431) 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 1043965312.
Provider's Profile
| Full Name | Shayla Matthews |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5118 Escalon Ave, View Park, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043965312
- Provider Enumeration Date: 02/15/2022
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062896590
- Enrollment ID: I20220901002649
Medical Identifiers
Medical identifiers for Shayla Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043965312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95017431 (California) | 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. Shayla Matthews allows following entities to bill medicare on her behalf.
| Entity Name | West Coast Wound And Skin Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437675980
PECOS PAC ID: 7315212834
Enrollment ID: O20171010002105 |
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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. Shayla Matthews 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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Shayla Matthews,
5118 Escalon Ave,
View Park, CA 90043-1624
Ph: () - | Shayla Matthews,
5118 Escalon Ave,
View Park, CA 90043-1624
Ph: (323) 854-0552 |
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