Katherine Ann Mattingly, PA-C - Medicare Physician Assistant in Dayton, OH

Katherine Ann Mattingly, PA-C is a medicare enrolled "Physician Assistant" in Dayton, Ohio. Her current practice location is 122 Wyoming St, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 223-4461.

Katherine Ann Mattingly is licensed to practice in Ohio (license number 50002181) 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 1699774174.

Contact Information

Katherine Ann Mattingly, PA-C
122 Wyoming St,
Dayton, OH 45409-2731
(937) 223-4461
(937) 224-1945



Provider's Profile

Full NameKatherine Ann Mattingly
GenderFemale
SpecialityPhysician Assistant
Location122 Wyoming St, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699774174
  • Provider Enumeration Date: 07/18/2005
  • Last Update Date: 01/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7911960638
  • Enrollment ID: I20041104000380

Medical Identifiers

Medical identifiers for Katherine Ann Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699774174NPI-NPPES
0067797MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50002181 (Ohio)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. Katherine Ann Mattingly 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
Katherine Ann Mattingly, PA-C
122 Wyoming St,
Dayton, OH 45409-2731

Ph: (937) 223-4461
Katherine Ann Mattingly, PA-C
122 Wyoming St,
Dayton, OH 45409-2731

Ph: (937) 223-4461

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Physician Assistant Nurses in Dayton, OH

Nicole Lynne-bendt Scott,
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Medicare: Medicare Enrolled
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Phone: 937-641-3600    Fax: 937-641-5802
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Phone: 937-641-3000    
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Phone: 937-221-7001    Fax: 937-224-5307
Kathleen A. Rowell, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 4100 W 3rd St, Dayton, OH 45428
Phone: 937-268-6511    
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Medicare: Accepting Medicare Assignments
Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409
Phone: 937-208-4200    Fax: 937-208-4205
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Medicare: Accepting Medicare Assignments
Practice Location: 4160 Little York Rd Ste 10, Dayton, OH 45414
Phone: 937-415-9100    

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