Lauren Mathis, NP - Medicare Nurse Practitioner in Evans, GA

Lauren Mathis, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Evans, Georgia. Her current practice location is 411 Town Park Blvd, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 854-2500.

Lauren Mathis is licensed to practice in Georgia (license number RN214012) 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 1740729516.

Contact Information

Lauren Mathis, NP
411 Town Park Blvd,
Evans, GA 30809-3487
(706) 854-2500
(706) 854-2559



Physician's Profile

Full NameLauren Mathis
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location411 Town Park Blvd, Evans, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740729516
  • Provider Enumeration Date: 02/14/2017
  • Last Update Date: 01/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042596215
  • Enrollment ID: I20170425000433

Medical Identifiers

Medical identifiers for Lauren Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740729516NPI-NPPES
003187586DMedicaidGA
003187586EMedicaidGA
003187586FMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics RN214012 (Georgia)Secondary
363L00000XNurse Practitioner RN214012 (Georgia)Secondary
363LP0200XNurse Practitioner - Pediatrics RN214012 (Georgia)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. Lauren Mathis allows following entities to bill medicare on her behalf.
Entity NameAu Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188

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Entity NameAu Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437135902
PECOS PAC ID: 7618866229
Enrollment ID: O20040312000081

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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. Lauren Mathis 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
Lauren Mathis, NP
411 Town Park Blvd,
Evans, GA 30809-3487

Ph: (706) 854-2500
Lauren Mathis, NP
411 Town Park Blvd,
Evans, GA 30809-3487

Ph: (706) 854-2500

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