Matthew J Weidman, MD is a medicare enrolled "Pediatrics" physician in Monmouth, Illinois. His current practice location is
1000 W Harlem Ave, Monmouth, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 734-3141.
Matthew J Weidman is licensed to practice in Illinois (license number 036116945) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134226145.
Physician's Profile
Full Name | Matthew J Weidman |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1000 W Harlem Ave, Monmouth, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134226145
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850515230
- Enrollment ID: I20140605001533
Medical Identifiers
Medical identifiers for Matthew J Weidman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134226145 | NPI | - | NPPES |
09015685 | Other | IL | BLUE CROSS BLUE SHIELD |
036116945 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 036116945 (Illinois) | Primary |
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. Matthew J Weidman allows following entities to bill medicare on his behalf.
Entity Name | Osf Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Matthew J Weidman 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 |
Matthew J Weidman, MD 1706 W Agency Rd, West Burlington, IA 52655-1667 Ph: (319) 753-5177 | Matthew J Weidman, MD 1000 W Harlem Ave, Monmouth, IL 61462-1007 Ph: (309) 734-3141 |
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