Dr Sandra Lynn Ettema, MD, PHD - Medicare Otolaryngology in Mattoon, IL

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Dr Sandra Lynn Ettema, MD, PHD is a medicare enrolled "Otolaryngology" physician in Mattoon, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2002 and has 22 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Sarah Bush Lincoln Health Center, Siu Physicians And Surgeons Inc and her current practice location is 1000 Health Center Dr Ste 401, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-2409.

Dr Sandra Lynn Ettema is licensed to practice in Illinois (license number 036.118460) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760577902.

Contact Information

Dr Sandra Lynn Ettema, MD, PHD
1000 Health Center Dr Ste 401,
Mattoon, IL 61938-4648
(217) 258-2409
Not Available

Map and Direction




Physician's Profile

Full NameDr Sandra Lynn Ettema
GenderFemale
SpecialityOtolaryngology
Experience22 Years
Location1000 Health Center Dr Ste 401, Mattoon, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sandra Lynn Ettema attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2002
  NPI Data:
  • NPI Number: 1760577902
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193826071
  • Enrollment ID: I20070723000056

Medical Identifiers

Medical identifiers for Dr Sandra Lynn Ettema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760577902NPI-NPPES
036118460MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 036.118460 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarah Bush Lincoln Health CenterMattoon, ILHospital
St Johns HospitalSpringfield, ILHospital
Memorial Medical CenterSpringfield, ILHospital
St Anthonys Memorial HospitalEffingham, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sarah Bush Lincoln Health Center5092614867308
Siu Physicians And Surgeons Inc2365352820275

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 Sandra Lynn Ettema allows following entities to bill medicare on her behalf.
Entity NameSiu Physicians & Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558385989
PECOS PAC ID: 2365352820
Enrollment ID: O20031222000769
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478

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 Sandra Lynn Ettema 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 Sandra Lynn Ettema, MD, PHD
Po Box 372,
Mattoon, IL 61938-0372

Ph: () -		Dr Sandra Lynn Ettema, MD, PHD
1000 Health Center Dr Ste 401,
Mattoon, IL 61938-4648

Ph: (217) 258-2409

Reviews and Comments


Otolaryngology Doctors in Mattoon, IL

Lori Cudone, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938
Phone: 217-258-2409    Fax: 217-258-2323
Michael Smith, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938
Phone: 217-258-2409    Fax: 217-258-2323
Dr. Harry Robert Borovik, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938
Phone: 217-258-2409    Fax: 217-258-2323
Charly Nguyen, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr Ste 401, Mattoon, IL 61938
Phone: 217-258-2409    Fax: 217-258-2323

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.