Dr Matthew Warren Sheprow, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wall Township, New Jersey. His current practice location is
3350 State Route 138, Bldg 1, Suite 117, Wall Township, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 681-2345.
Dr Matthew Warren Sheprow is licensed to practice in New Jersey (license number 3874) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104041664.
Healthcare Provider's Profile
| Full Name | Dr Matthew Warren Sheprow |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3350 State Route 138, Wall Township, New Jersey |
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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: 1104041664
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 10/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 8820252760
- Enrollment ID: I20120606000022
Medical Identifiers
Medical identifiers for Dr Matthew Warren Sheprow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104041664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 3874 (New Jersey) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3874 (New Jersey) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 3874 (New Jersey) | Secondary |
| 103TS0200X | Psychologist - School | 3874 (New Jersey) | Secondary |
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 Matthew Warren Sheprow allows following entities to bill medicare on his behalf.
| Entity Name | Challenges Psychological Services, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114968427
PECOS PAC ID: 1951391242
Enrollment ID: O20040518000151 |
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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. Dr Matthew Warren Sheprow 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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Dr Matthew Warren Sheprow, PHD
2158 Terrace Pl,
Sea Girt, NJ 08750-1813
Ph: (732) 681-2345 | Dr Matthew Warren Sheprow, PHD
3350 State Route 138, Bldg 1, Suite 117,
Wall Township, NJ 07719-9693
Ph: (732) 681-2345 |
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