Dr Matthew Taylor Hefty, MD | |
215 E 1st St Ste 316, Dixon, IL 61021-3190 | |
(815) 285-5842 | |
(815) 285-5845 |
Full Name | Dr Matthew Taylor Hefty |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 215 E 1st St Ste 316, Dixon, 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 |
---|---|---|---|
1154633618 | NPI | - | NPPES |
F400525521 | Other | IL | MEDICARE PTAN |
4301096886 | Other | MI | EDUCATIONAL LIMITED LICENSE |
376897 | Other | IL | HEALTH ALLIANCE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 036147642 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Katherine Shaw Bethea Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Taylor Hefty, MD 215 E 1st St Ste 316, Dixon, IL 61021-3190 Ph: (815) 285-5842 | Dr Matthew Taylor Hefty, MD 215 E 1st St Ste 316, Dixon, IL 61021-3190 Ph: (815) 285-5842 |
David Joseph Powers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 315, Dixon, IL 61021 Phone: 815-288-1035 Fax: 815-284-0584 | |
John Strom, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5600 Fax: 815-285-5602 | |
Dr. Osmaan Abbas Khawaja, MD Surgery Medicare: Medicare Enrolled Practice Location: 215 E 1st St, Suite 105, Dixon, IL 61021 Phone: 815-285-5842 Fax: 815-285-5845 |