Daiva Mattis, - Medicare Pathology in Bronx, NY

Daiva Mattis, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Bronx, New York. Her current practice location is 111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (510) 872-2029.

Daiva Mattis is licensed to practice in Illinois (license number 036.153139) 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 1598151136.

Contact Information

Daiva Mattis,
111 E 210th St,
Bronx, NY 10467-2401
(510) 872-2029
Not Available



Physician's Profile

Full NameDaiva Mattis
GenderFemale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location111 E 210th St, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598151136
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 07/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850716952
  • Enrollment ID: I20200806002123

Medical Identifiers

Medical identifiers for Daiva Mattis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598151136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 036.153139 (Illinois)Primary

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. Daiva Mattis 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 AddressPractice Location Address
Daiva Mattis,
111 E 210th St,
Bronx, NY 10467-2401

Ph: (510) 872-2029
Daiva Mattis,
111 E 210th St,
Bronx, NY 10467-2401

Ph: (510) 872-2029

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Pathology Doctors in Bronx, NY

Dr. Stephen Michael Factor,
Pathology
Medicare: Medicare Enrolled
Practice Location: 1400 Pelham Pkwy S, Bronx, NY 10461
Phone: 718-918-3060    Fax: 718-918-4469
Dr. Nichelle T Simmons,
Pathology
Medicare: Medicare Enrolled
Practice Location: 1400 Pelham Pkwy S, Bronx, NY 10461
Phone: 718-918-3060    Fax: 718-918-4469
Kathryn E Tanaka, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 111 E 210th St, Surgical Pathology N-4, Bronx, NY 10467
Phone: 718-920-4976    Fax: 718-920-7611
Dr. Mark Everett Smethurst, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468
Phone: 718-584-9000    Fax: 718-741-4615
Kathie Schlesinger, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Mmc - Dept. Of Pathology, 111 East 210th Street, Bronx, NY 10467
Phone: 718-920-6329    
Sandra E Reznik, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: Weiler - Dept. Of Pathology, 1825 Eastchester Road, 3rd Fl., Bronx, NY 10461
Phone: 718-904-2861    
Dr. Adam Jay Gersten, MD
Pathology
Medicare: May Accept Medicare Assignments
Practice Location: 111 E 210th St, Foreman 4 - Department Of Pathology, Bronx, NY 10467
Phone: 718-920-4976    

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