JACK M. MATHENY, II – NPI #1629040043
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JACK MATHENY, II is a physician located in PALATKA, FL. NPPES has assigned the NPI number 1629040043 to JACK MATHENY, II on February 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Apr 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK MATHENY, II below.

NPI Profile for
JACK M. MATHENY, II

NPI Number
1629040043
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK M. MATHENY, II
Primary location
700 ZEAGLER DR STE 10
PALATKA, FL 32177-3826
Phone: (386) 328-6746 Fax: (386) 328-7554
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JACK MATHENY, II

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAID GROUP NUMBER FOR NON RURAL HEALTH SERVICESFL372143400
OTHERMEDICAID GROUP NUMBER FOR RURAL HEALTH CLINICFL372143401
MEDICAIDFL046979300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME0048571

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK MATHENY, II is affiliated with the following medical group(s):
  • HOSPITAL
    • PUTNAM COMMUNITY MEDICAL CENTER
      611 ZEAGLER DR
      PALATKA, FL 32177
  • HOME HEALTH AGENCY
    • BROOKS REHABILITATION HOME HEALTH
      3424 SAINT JOHNS AVE
      PALATKA, FL 32177
    • KINDRED AT HOME
      205 ZEAGLER DR STE 401
      PALATKA, FL 32177
    • MEDERI CARETENDERS
      18118 POWELL RD
      BROOKSVILLE, FL 34604
  • NURSING HOME
    • SOLARIS HEALTHCARE PALATKA
      110 KAY LARKIN DR
      PALATKA, FL 32177

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