| John Thomas Matera, MD | |
|
3046 127th St, Blue Island, IL 60406-1827 | |
| (708) 377-7920 | |
| Not Available |
| Full Name | John Thomas Matera |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 3046 127th St, Blue Island, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770970931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036146273 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036146273 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Pc | 7517109879 | 211 |
| 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 | Oak Street Health Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
| Mailing Address | Practice Location Address |
|---|---|
| John Thomas Matera, MD Po Box 746715, Atlanta, GA 30374-6715 Ph: (312) 733-9730 | John Thomas Matera, MD 3046 127th St, Blue Island, IL 60406-1827 Ph: (708) 377-7920 |
Dr. Rafiq Ahmed, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, Suite 2b, Blue Island, IL 60406 Phone: 708-388-7028 Fax: 708-396-1525 | |
Salvatore Ventura, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 12200 Western Ave Ste 120, Blue Island, IL 60406 Phone: 708-388-0499 Fax: 708-388-0283 | |
Jeanine Connolly, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Dr. Mouhammed K Sheikha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 High St, Blue Island, IL 60406 Phone: 708-388-5500 Fax: 708-388-5672 | |
Dr. Edwin Earl Hollins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3046 127th St, Blue Island, IL 60406 Phone: 708-377-7920 |