Matthew P Datzman, MD is a medicare enrolled "Emergency Medicine" physician in Eldorado, Illinois. He graduated from medical school in 1985 and has 41 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Midwest Emergency Medicine Inc and his current practice location is
105 Kane Rd, Eldorado, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 268-6212.
Matthew P Datzman is licensed to practice in Illinois (license number ) 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 1043254386.
Physician's Profile
| Full Name | Matthew P Datzman |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 41 Years |
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| Location | 105 Kane Rd, Eldorado, Illinois |
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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. |
Medical Education and Training:
- Matthew P Datzman graduated from medical school in 1985
NPI Data:
- NPI Number: 1043254386
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244209401
- Enrollment ID: I20100429000519
Medical Identifiers
Medical identifiers for Matthew P Datzman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043254386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Midwest Emergency Medicine Inc | 1052666575 | 17 |
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 P Datzman allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
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| Entity Name | Midwest Emergency Medicine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801383278 PECOS PAC ID: 1052666575 Enrollment ID: O20180623000098 |
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| Entity Name | Mid West Hospital Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700341872 PECOS PAC ID: 1658612098 Enrollment ID: O20190411001203 |
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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 P Datzman 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 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 |
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