Dr Mattie Rose Carter, in Vandalia, IL - Medicare Physical Therapist Provider

Dr Mattie Rose Carter, is a medicare enrolled "Physical Therapist" provider in Vandalia, Illinois. Her current practice location is 126 S 1st St, Vandalia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 283-1634.

Dr Mattie Rose Carter is licensed to practice in Illinois (license number 070025735) 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 1922684653.

Contact Information

	Dr Mattie Rose Carter,
	126 S 1st St, Vandalia, IL 62471-2803
	(618) 283-1634
	(618) 283-0423

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mattie Rose Carter
Gender	Female
Speciality	Physical Therapist
Location	126 S 1st St, Vandalia, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922684653
Provider Enumeration Date: 03/23/2021
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6002280716
Enrollment ID: I20230321000715

Medical Identifiers

Medical identifiers for Dr Mattie Rose Carter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922684653	NPI	-	NPPES
070025735	Other	IL	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070025735 (Illinois)	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. Dr Mattie Rose Carter allows following entities to bill medicare on her behalf.

Provider Name	Vandalia Physical Therapy, Ltd.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174585384 PECOS PAC ID: 6305831314 Enrollment ID: O20040419001036

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. Dr Mattie Rose Carter 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
Dr Mattie Rose Carter, 126 S 1st St, Vandalia, IL 62471-2803 Ph: (618) 283-1634	Dr Mattie Rose Carter, 126 S 1st St, Vandalia, IL 62471-2803 Ph: (618) 283-1634

Reviews and Comments

Physical Therapist in Vandalia, IL

Miss Melissa Hutchison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 New York Dr, Vandalia, IL 62471 Phone: 618-283-5545 Fax: 618-283-2951
Vandalia Physical Therapy Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 126 S. 1st St., Vandalia, IL 62471 Phone: 618-283-1634 Fax: 618-283-0423
Michelle Schmitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 New York Dr, Vandalia, IL 62471 Phone: 618-283-5548
Ms. Beth Hall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 825 New York Dr, Vandalia, IL 62471 Phone: 618-283-5545 Fax: 618-283-2951
Lara Roberts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 W Taylor St, Vandalia, IL 62471 Phone: 618-283-5548
Ashley Hadowsky, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 S. First Street, Vandalia, IL 62471 Phone: 618-283-1634 Fax: 618-283-0423

Dr Mattie Rose Carter, - Medicare Physical Therapist in Vandalia, IL