Dr Matthew Blaine Eubanks, MD is a medicare enrolled "Pediatrics" physician in Harrisburg, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is
117 E Clark St, Harrisburg, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 252-8625.
Dr Matthew Blaine Eubanks is licensed to practice in Illinois (license number 036127151) 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 1679717425.
Physician's Profile
| Full Name | Dr Matthew Blaine Eubanks |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 16 Years |
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| Location | 117 E Clark St, Harrisburg, 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. |
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Medical Education and Training:
- Dr Matthew Blaine Eubanks attended and graduated from Southern Illinois University School Of Medicine in 2008
NPI Data:
- NPI Number: 1679717425
- Provider Enumeration Date: 04/23/2009
- Last Update Date: 09/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890943435
- Enrollment ID: I20120924000546
Medical Identifiers
Medical identifiers for Dr Matthew Blaine Eubanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679717425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 036127151 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036127151 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Medical Services Nfp | 3678677390 | 252 |
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. Dr Matthew Blaine Eubanks allows following entities to bill medicare on his behalf.
| Entity Name | Southern Illinois Medical Services Nfp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595 |
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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. Dr Matthew Blaine Eubanks 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 |
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Dr Matthew Blaine Eubanks, MD
Po Box 3988,
Carbondale, IL 62902-3988
Ph: (618) 457-5200 | Dr Matthew Blaine Eubanks, MD
117 E Clark St,
Harrisburg, IL 62946-2702
Ph: (618) 252-8625 |
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