| Mathew C Mathew, MD | |
|
215 E. 1st Street, Suite #212, Ksb Medical Group, Dixon, IL 61021 | |
| (815) 285-5484 | |
| (815) 285-5486 |
| Full Name | Mathew C Mathew |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 53 Years |
| Location | 215 E. 1st Street, Suite #212, Dixon, 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 |
|---|---|---|---|
| 1447354709 | NPI | - | NPPES |
| 036056556 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036-056556 (Illinois) | Secondary |
| 208800000X | Urology | 036.056556 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morrison Community Hospital | Morrison, IL | Hospital |
| Cgh Medical Center | Sterling, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morrison Community Hospital District | 2466349907 | 32 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700907250 PECOS PAC ID: 2466349907 Enrollment ID: O20040301000685 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Mathew C Mathew, MD 215 E. 1st Street, Suite #212, Ksb Medical Group, Dixon, IL 61021 Ph: (815) 285-5484 | Mathew C Mathew, MD 215 E. 1st Street, Suite #212, Ksb Medical Group, Dixon, IL 61021 Ph: (815) 285-5484 |
Dr. Eric E Simpson, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 153, Dixon, IL 61021 Phone: 815-285-5484 Fax: 815-285-5486 |