Edward Clay Travis, MD in Du Quoin, IL - Medicare Family Practice

Edward Clay Travis, MD is a medicare enrolled "Family Medicine" physician in Du Quoin, Illinois. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Marshall Browning Hospital Association and his current practice location is 900 N. Washington St, Du Quoin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 534-8538.

Edward Clay Travis is licensed to practice in Illinois (license number 036086580) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801909700.

Contact Information

	Edward Clay Travis, MD
	900 N. Washington St, Du Quoin, IL 62832
	(618) 534-8538
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward Clay Travis
Gender	Male
Speciality	Family Practice
Experience	33 Years
Location	900 N. Washington St, Du Quoin, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Clay Travis graduated from medical school in 1991

NPI Data:

NPI Number: 1801909700
Provider Enumeration Date: 08/16/2006
Last Update Date: 02/14/2020

Medicare PECOS Information:

PECOS PAC ID: 3072426196
Enrollment ID: I20071108000396

Medical Identifiers

Medical identifiers for Edward Clay Travis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801909700	NPI	-	NPPES
46473	Other	IL	GHP INSURANCE NUMBER
3932056	Other	IL	BCBS OF IL
029889	Other	IL	HAMP INSURANCE NUMBER
036086580	Medicaid	IL
370661218401	Medicaid	IL
7210895	Other	IL	AETNA
080129731	Other	IL	RR MEDICARE NUMBER
253437	Other	IL	HEALTHLINK INSURANCE NUMB
324151	Other	IL	GHP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036086580 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marshall Browning Hospital	Du quoin, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marshall Browning Hospital Association	9335049980	28

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. Edward Clay Travis allows following entities to bill medicare on his behalf.

Entity Name	Marshall Browning Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821099441 PECOS PAC ID: 9335049980 Enrollment ID: O20040226000868

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. Edward Clay Travis 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
Edward Clay Travis, MD 900 N. Washington St Po Box 192, Du Quoin, IL 62832 Ph: (618) 534-8538	Edward Clay Travis, MD 900 N. Washington St, Du Quoin, IL 62832 Ph: (618) 534-8538

Reviews and Comments

Family Medicine Doctors in Du Quoin, IL

Dr. David E Gerdt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2146 Fax: 618-542-4756
Adam Jordan Henson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 N Washington Street, Du Quoin, IL 62832 Phone: 618-790-7401
Dr. Suzanne Burge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792
Darragh O'connor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 900 N Washington St, Du Quoin, IL 62832 Phone: 618-542-2146
Carmen Krejci, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 119 Gas Plant Rd, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-724-2571

Edward Clay Travis, MD - Medicare Family Practice in Du Quoin, IL