| Matthew P Datzman, MD | |
|
105 Kane Rd, Eldorado, IL 62930-3736 | |
| (618) 268-6212 | |
| Not Available |
| Full Name | Matthew P Datzman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 105 Kane Rd, Eldorado, 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 |
|---|---|---|---|
| 1043254386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Crawford Memorial Hospital | Robinson, IL | Hospital |
| Community Hospital Of Staunton | Staunton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Emergency Medicine Inc | 1052666575 | 17 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
| Entity Name | Midwest Emergency Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801383278 PECOS PAC ID: 1052666575 Enrollment ID: O20180623000098 |
| Entity Name | Mid West Hospital Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700341872 PECOS PAC ID: 1658612098 Enrollment ID: O20190411001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew P Datzman, MD 105 Kane Rd, Eldorado, IL 62930-3736 Ph: (618) 268-6212 | Matthew P Datzman, MD 105 Kane Rd, Eldorado, IL 62930-3736 Ph: (618) 268-6212 |
Dr. Bruce A Sobko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Pine St, Eldorado, IL 62930 Phone: 618-273-3361 Fax: 618-273-2571 |