Dr Edwin Roy Mathews, DO - Medicare Internal Medicine in Jacksonville, IL

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Dr Edwin Roy Mathews, DO is a medicare enrolled "Internal Medicine" physician in Jacksonville, Illinois. His current practice location is 15 Founders Ln Ste 100, Jacksonville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 243-0300.

Dr Edwin Roy Mathews is licensed to practice in Illinois (license number 036.165011) 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 1225657125.

Contact Information

Dr Edwin Roy Mathews, DO
15 Founders Ln Ste 100,
Jacksonville, IL 62650-3924
(217) 243-0300
(217) 245-6775

Map and Direction




Physician's Profile

Full NameDr Edwin Roy Mathews
GenderMale
SpecialityInternal Medicine
Location15 Founders Ln Ste 100, Jacksonville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225657125
  • Provider Enumeration Date: 04/10/2020
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648694448
  • Enrollment ID: I20230417001894

Medical Identifiers

Medical identifiers for Dr Edwin Roy Mathews such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225657125NPI-NPPES
036.165011OtherILMD LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036.165011 (Illinois)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. Dr Edwin Roy Mathews allows following entities to bill medicare on his behalf.
Entity NameNortheast Arkansas Clinic Charitable Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861721839
PECOS PAC ID: 2961547526
Enrollment ID: O20100315000190

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. Dr Edwin Roy Mathews 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
Dr Edwin Roy Mathews, DO
15 Founders Ln Ste 100,
Jacksonville, IL 62650-3924

Ph: (217) 243-0300		Dr Edwin Roy Mathews, DO
15 Founders Ln Ste 100,
Jacksonville, IL 62650-3924

Ph: (217) 243-0300

Reviews and Comments


Internal Medicine Doctors in Jacksonville, IL

Dr. Eli G Goodman, MD
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Practice Location: 1600 W Walnut St, Jacksonville, IL 62650
Phone: 217-479-5890    
Dr. Babu Rao Eladasari, MD,FACP
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 559 N Westgate Ave, Jacksonville, IL 62650
Phone: 217-243-5474    Fax: 217-245-2322
Dr. Thomas Anthony Baker, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2268 E Morton Ave, Jacksonville, IL 62650
Phone: 217-245-1481    
Chandupatla Prabhakar, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 559 N Westgate, Jacksonville, IL 62650
Phone: 217-243-5474    Fax: 217-245-2322
Dr. David D Coultas, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1606 W Lafayette Ave, Jacksonville, IL 62650
Phone: 217-245-1421    Fax: 217-243-1699

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.