Isaac J Mattis, is a medicare enrolled "Family Medicine" physician in Stanberry, Missouri. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Jefferson Community Health Center Inc and his current practice location is
202 E Main St, Stanberry, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 783-2192.
Isaac J Mattis is licensed to practice in Missouri (license number 2025032839) 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 1972235166.
Physician's Profile
| Full Name | Isaac J Mattis |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 202 E Main St, Stanberry, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Isaac J Mattis attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2022
NPI Data:
- NPI Number: 1972235166
- Provider Enumeration Date: 06/27/2022
- Last Update Date: 08/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678956513
- Enrollment ID: I20240724000170
Medical Identifiers
Medical identifiers for Isaac J Mattis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972235166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2864 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 2025032839 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jefferson Community Health Center Inc | 2668574542 | 16 |
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. Isaac J Mattis allows following entities to bill medicare on his behalf.
| Entity Name | Jefferson Community Health Center Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1477660397
PECOS PAC ID: 2668574542
Enrollment ID: O20070223000198 |
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| Entity Name | Jefferson Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922462902
PECOS PAC ID: 2668574542
Enrollment ID: O20160506001438 |
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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. Isaac J Mattis 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 |
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Isaac J Mattis,
202 E Main St,
Stanberry, MO 64489-1358
Ph: (660) 783-2192 | Isaac J Mattis,
202 E Main St,
Stanberry, MO 64489-1358
Ph: (660) 783-2192 |
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