Dr Matthew J Niedzwiecki, MD in Kankakee, IL

Dr Matthew J Niedzwiecki, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kankakee, Illinois. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Presence Healthcare Services and his current practice location is 500 W Court St, Kankakee, Illinois. You can reach out to his office (for appointments etc.) via phone at (281) 836-4735.

Dr Matthew J Niedzwiecki is licensed to practice in Illinois (license number 036.130526) 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 1174859284.

Contact Information

	Dr Matthew J Niedzwiecki, MD
	500 W Court St, Kankakee, IL 60901-3661
	(281) 836-4735
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew J Niedzwiecki
Gender	Male
Speciality	Psychiatry
Experience	16 Years
Location	500 W Court St, Kankakee, 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:

Dr Matthew J Niedzwiecki graduated from medical school in 2009

NPI Data:

NPI Number: 1174859284
Provider Enumeration Date: 10/23/2009
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 4183866981
Enrollment ID: I20231009001272

Medical Identifiers

Medical identifiers for Dr Matthew J Niedzwiecki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174859284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	25MA10564100 (New Jersey)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2017-01279 (North Carolina)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	22784 (New Hampshire)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	MD60749657 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	C156972 (California)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	V8156 (Texas)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	036.130526 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Presence Saint Joseph Hospital - Chicago	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Presence Healthcare Services	2860396769	58

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 J Niedzwiecki allows following entities to bill medicare on his behalf.

Entity Name	St Marys Hospital Centralia Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118

Entity Name	Presence Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965

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 J Niedzwiecki 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 J Niedzwiecki, MD 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6314	Dr Matthew J Niedzwiecki, MD 500 W Court St, Kankakee, IL 60901-3661 Ph: (281) 836-4735

Reviews and Comments

Psychiatry & Neurology Doctors in Kankakee, IL

Bruce I Dodt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste 300, Kankakee, IL 60901 Phone: 815-935-0750 Fax: 815-935-8797
Patricia L Roy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall Street, Suite 200, Kankakee, IL 60901 Phone: 815-937-1237 Fax: 815-933-0662
Dr. Shital Tapan Mehta, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 275 E Court St, Suite 102, Kankakee, IL 60901 Phone: 815-939-3544 Fax: 815-939-3557
Ashley Noel Joyles Clark, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Khalid Naveed Arshad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B402, Kankakee, IL 60901 Phone: 815-937-1237 Fax: 815-933-0662
Dr. Kevin Chacko Varghese, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 Fax: 815-933-0662

Dr Matthew J Niedzwiecki, MD - Medicare Psychiatry in Kankakee, IL