Dr Matthew Paige Downs, MD - Medicare Pediatrics in Oshkosh, WI

Dr Matthew Paige Downs, MD is a medicare enrolled "Pediatrics" physician in Oshkosh, Wisconsin. His current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 303-8700.

Dr Matthew Paige Downs is licensed to practice in West Virginia (license number WV21602) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376651596.

Contact Information

Dr Matthew Paige Downs, MD
855 N Westhaven Dr,
Oshkosh, WI 54904
(920) 303-8700
(920) 456-5831

Map and Direction




Physician's Profile

Full NameDr Matthew Paige Downs
GenderMale
SpecialityPediatrics
Location855 N Westhaven Dr, Oshkosh, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376651596
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850360132
  • Enrollment ID: I20131126000187

Medical Identifiers

Medical identifiers for Dr Matthew Paige Downs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376651596NPI-NPPES
100033242MedicaidWI
3810001015MedicaidWV
3810000480MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics WV21602 (West Virginia)Primary

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 Paige Downs allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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 Paige Downs 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 AddressPractice Location Address
Dr Matthew Paige Downs, MD
855 N Westhaven Dr,
Oshkosh, WI 54904-7668

Ph: (920) 303-8700
Dr Matthew Paige Downs, MD
855 N Westhaven Dr,
Oshkosh, WI 54904

Ph: (920) 303-8700

Reviews and Comments


Pediatrics Doctors in Oshkosh, WI

Dr. Zainab Kagen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2700 W 9th Ave, Suite 211, Oshkosh, WI 54904
Phone: 920-223-8000    
Dr. Deborah M Hermes, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    
Dr. Scott B Johnson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    Fax: 920-303-4129
Susan M Szabo, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1855 S Koeller St, Oshkosh, WI 54902
Phone: 920-223-7200    
Dr. Jean Ruth Thur, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    Fax: 920-456-5831
Dr. Vee Ly, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904
Phone: 920-303-8700    Fax: 920-303-5632

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.