Dr Matthew Daniel Dube, MD in Evanston, IL - Medicare Emergency Medicine

Dr Matthew Daniel Dube, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2000.

Dr Matthew Daniel Dube is licensed to practice in Illinois (license number 036124947) 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 1710125976.

Contact Information

	Dr Matthew Daniel Dube, MD
	2650 Ridge Ave, Evanston, IL 60201-1700
	(847) 570-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew Daniel Dube
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710125976
Provider Enumeration Date: 01/27/2009
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 4789861303
Enrollment ID: I20110608000525

Medical Identifiers

Medical identifiers for Dr Matthew Daniel Dube such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710125976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	73971 (Wisconsin)	Secondary
207P00000X	Emergency Medicine	125052864 (Illinois)	Secondary
261QI0500X	Clinic/center - Infusion Therapy	036124947 (Illinois)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	036124947 (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 Matthew Daniel Dube allows following entities to bill medicare on his behalf.

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Medfuse Illinois Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558123257 PECOS PAC ID: 7113369745 Enrollment ID: O20240528001687

Entity Name	Vital Link Physician Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679311336 PECOS PAC ID: 5294267621 Enrollment ID: O20241010000945

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 Matthew Daniel Dube 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
Dr Matthew Daniel Dube, MD 4711 Golf Rd Ste 900, Skokie, IL 60076-1247 Ph: (773) 383-2042	Dr Matthew Daniel Dube, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2000

Reviews and Comments

Emergency Medicine Doctors in Evanston, IL

Michael T. Gillam, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Dr. Rachel Hammel Mcdowell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-2440

Dr Matthew Daniel Dube, MD - Medicare Emergency Medicine in Evanston, IL