Randall Joseph Matos, DPM is a medicare enrolled "Podiatrist" provider in Poteau, Oklahoma. He went to Kent State University College Of Podiatric Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. His current practice location is
1103 Dewey Ave, Poteau, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 649-3777.
Randall Joseph Matos is licensed to practice in Oklahoma (license number 193) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780632273.
Healthcare Provider's Profile
| Full Name | Randall Joseph Matos |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 29 Years |
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| Location | 1103 Dewey Ave, Poteau, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Randall Joseph Matos attended and graduated from Kent State University College Of Podiatric Medicine in 1995
NPI Data:
- NPI Number: 1780632273
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 03/09/2011
Medicare PECOS Information:
- PECOS PAC ID: 1355432295
- Enrollment ID: I20100907000862
Medical Identifiers
Medical identifiers for Randall Joseph Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780632273 | NPI | - | NPPES |
| 100779740A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 193 (Oklahoma) | Primary |
Medical Facilities Affiliation
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. Randall Joseph Matos allows following entities to bill medicare on his behalf.
| Provider Name | Randall J Matos Dpm Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407876246
PECOS PAC ID: 7719078658
Enrollment ID: O20070808000055 |
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| Provider Name | Pro-care Family Health Of Oklahoma , Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396234761
PECOS PAC ID: 1456603901
Enrollment ID: O20181010002297 |
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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. Randall Joseph 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 |
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Randall Joseph Matos, DPM
Po Box 400,
Poteau, OK 74953-0400
Ph: (918) 649-3777 | Randall Joseph Matos, DPM
1103 Dewey Ave,
Poteau, OK 74953-4411
Ph: (918) 649-3777 |
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