| Stephen S Matter, MD | |
|
2200 Jacobssen Dr, Normal, IL 61761-5516 | |
| (309) 451-1123 | |
| (309) 451-1212 |
| Full Name | Stephen S Matter |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 42 Years |
| Location | 2200 Jacobssen Dr, Normal, 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 |
|---|---|---|---|
| 1134228224 | NPI | - | NPPES |
| 201622626001 | Medicaid | IL | |
| 0360788251 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 36078825 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Medical Group, Llc | 5991989477 | 10 |
| Entity Name | Premier Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942501978 PECOS PAC ID: 5991989477 Enrollment ID: O20110407000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen S Matter, MD 2200 Jacobssen Dr, Normal, IL 61761-5516 Ph: (309) 451-1123 | Stephen S Matter, MD 2200 Jacobssen Dr, Normal, IL 61761-5516 Ph: (309) 451-1123 |
Dr. Ali Raza Ghani, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
Dr. Thanom Temiyasathit, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Beth L Tumilty, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Piotr Pawel Krolikowski, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Dr. Chae Chu, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 | |
Robert Bruha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 3000, Normal, IL 61761 Phone: 309-676-8123 Fax: 309-676-8455 | |
Mr. Thomas Deweert, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 |