Ms Leeda Merin Mathew, DO in Lebanon, OR - Medicare Internal Medicine

Ms Leeda Merin Mathew, DO is a medicare enrolled "Internal Medicine" physician in Lebanon, Oregon. Her current practice location is 200 Mullins Dr, Lebanon, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 259-0258.

Ms Leeda Merin Mathew is licensed to practice in California (license number 20A17822) 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 1518311299.

Contact Information

	Ms Leeda Merin Mathew, DO
	200 Mullins Dr, Lebanon, OR 97355-3983
	(541) 259-0258
	Not Available

Physician's Profile

Full Name	Ms Leeda Merin Mathew
Gender	Female
Speciality	Internal Medicine
Location	200 Mullins Dr, Lebanon, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518311299
Provider Enumeration Date: 04/19/2016
Last Update Date: 09/10/2021

Medicare PECOS Information:

PECOS PAC ID: 9436535440
Enrollment ID: I20220928002705

Medical Identifiers

Medical identifiers for Ms Leeda Merin Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518311299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A17822 (California)	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. Ms Leeda Merin Mathew allows following entities to bill medicare on her behalf.

Entity Name	First Choice Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480

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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. Ms Leeda Merin Mathew 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
Ms Leeda Merin Mathew, DO 11474 Jacobsen Rd, Beaumont, CA 92223-6241 Ph: (503) 593-1160	Ms Leeda Merin Mathew, DO 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: (541) 259-0258

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Internal Medicine Doctors in Lebanon, OR

Dr. Robert D. Wimmer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6427 Fax: 541-451-7520
Cody Talbot, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mullins Dr Ste C2, Lebanon, OR 97355 Phone: 541-451-6413
Dr. Jourdan Leigh Hull, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6479 Fax: 541-451-7085
Dr. Randy J. Mccoy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200
Dr. Sedrick A. Salisbury, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200
Dr. Mark Thomas Day, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101
Dr. Dana L. Kosmala, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282

Ms Leeda Merin Mathew, DO - Medicare Internal Medicine in Lebanon, OR

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Internal Medicine Doctors in Lebanon, OR