Shimi Manoj Mathew, APRN, PMHNP-BC in Orlando, FL

Shimi Manoj Mathew, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orlando, Florida. Her current practice location is 6718 Lake Nona Blvd, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (833) 769-3524.

Shimi Manoj Mathew is licensed to practice in Florida (license number APRN11029483) 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 1407175722.

Contact Information

	Shimi Manoj Mathew, APRN, PMHNP-BC
	6718 Lake Nona Blvd, Orlando, FL 32827-7982
	(833) 769-3524
	Not Available

Map and Direction

Provider's Profile

Full Name	Shimi Manoj Mathew
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6718 Lake Nona Blvd, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407175722
Provider Enumeration Date: 05/26/2010
Last Update Date: 08/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2264874759
Enrollment ID: I20240529003925

Medical Identifiers

Medical identifiers for Shimi Manoj Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407175722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11029483 (Florida)	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. Shimi Manoj Mathew allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590

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. Shimi Manoj Mathew 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
Shimi Manoj Mathew, APRN, PMHNP-BC 2013 Live Oak Blvd Ste B&c, Saint Cloud, FL 34771-8408 Ph: (407) 593-2388	Shimi Manoj Mathew, APRN, PMHNP-BC 6718 Lake Nona Blvd, Orlando, FL 32827-7982 Ph: (833) 769-3524

Reviews and Comments

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Mrs. Ellen G Tindal, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 W Gore St, Orlando, FL 32806 Phone: 321-841-3338 Fax: 321-841-2170
Ms. Dawn Michelle Fowler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-841-7550 Fax: 321-841-8185
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Shimi Manoj Mathew, APRN, PMHNP-BC - Medicare Nurse Practitioner in Orlando, FL