Dr Matthew C Reeck, MD is a medicare enrolled "Dermatology" physician in Ketchum, Idaho. He went to Indiana University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice St Lukes Clinic - Wood River Llc and his current practice location is
191 W 5th St, Ketchum, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 725-2171.
Dr Matthew C Reeck is licensed to practice in Idaho (license number M11887) 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 1124022801.
Physician's Profile
| Full Name | Dr Matthew C Reeck |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 27 Years |
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| Location | 191 W 5th St, Ketchum, Idaho |
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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 C Reeck attended and graduated from Indiana University School Of Medicine in 1997
NPI Data:
- NPI Number: 1124022801
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 02/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 5395776850
- Enrollment ID: I20130424000771
Medical Identifiers
Medical identifiers for Dr Matthew C Reeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124022801 | NPI | - | NPPES |
| 200310490 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 01054306A (Indiana) | Secondary |
| 207N00000X | Dermatology | M11887 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 54 |
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 C Reeck allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Clinic - Wood River Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474 |
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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 C Reeck 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 C Reeck, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: (208) 381-2222 | Dr Matthew C Reeck, MD
191 W 5th St,
Ketchum, ID 83340-0000
Ph: (208) 725-2171 |
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