Raphael Josy Mattamal, MD - Medicare Pediatrics in Amarillo, TX

Raphael Josy Mattamal, MD is a medicare enrolled "Pediatrics" physician in Amarillo, Texas. His current practice location is 1400 S Coulter St, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 414-9800.

Raphael Josy Mattamal is licensed to practice in Texas (license number R4092) 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 1679993034.

Contact Information

Raphael Josy Mattamal, MD
1400 S Coulter St,
Amarillo, TX 79106-1786
(806) 414-9800
(806) 354-5689



Physician's Profile

Full NameRaphael Josy Mattamal
GenderMale
SpecialityPediatrics
Location1400 S Coulter St, Amarillo, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679993034
  • Provider Enumeration Date: 04/23/2014
  • Last Update Date: 02/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5193021681
  • Enrollment ID: I20170818000754

Medical Identifiers

Medical identifiers for Raphael Josy Mattamal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679993034NPI-NPPES
374825301MedicaidTX
374825302MedicaidTX
73172511MedicaidNM
200725100AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 45997 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program 582589 (Texas)Secondary
208000000XPediatrics R4092 (Texas)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. Raphael Josy Mattamal allows following entities to bill medicare on his behalf.
Entity NameTexas Tech University Health Sciences Center Amarillo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013942150
PECOS PAC ID: 9234037847
Enrollment ID: O20031220000051

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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. Raphael Josy Mattamal 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
Raphael Josy Mattamal, MD
1400 Wallace Blvd,
Amarillo, TX 79106-1708

Ph: (806) 414-9800
Raphael Josy Mattamal, MD
1400 S Coulter St,
Amarillo, TX 79106-1786

Ph: (806) 414-9800

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Pediatrics Doctors in Amarillo, TX

Mrs. Cynthia Milagros Correa-colon, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106
Phone: 806-355-9703    
Dr. Kinsley Ann Stepka, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1400 S Coulter St Ste 1500, Amarillo, TX 79106
Phone: 806-414-9800    
Muhammad Asif Qureshi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1400 S Coulter St, Amarillo, TX 79106
Phone: 806-354-5630    Fax: 806-354-5568
Shu Shum, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1801 Halstead St, Amarillo, TX 79106
Phone: 806-358-8526    Fax: 806-358-0179
Robin Elaine Martinez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6305 Sunlake Dr, Amarillo, TX 79124
Phone: 806-352-1020    
Jason Nirgiotis, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1400 S Coulter St, Amarillo, TX 79106
Phone: 806-414-9800    Fax: 806-354-5689
Dr. Debbie Pamela Hoving, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Medi Park Dr Ste 200, Amarillo, TX 79106
Phone: 806-468-4350    Fax: 806-468-4351

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