Dr Ryan D Matherly, MD in Elkhart, IN - Medicare Family Medicine

Dr Ryan D Matherly, MD is a medicare enrolled "Family Medicine" physician in Elkhart, Indiana. His current practice location is 2115 W Lexington Ave, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 296-3955.

Dr Ryan D Matherly is licensed to practice in Indiana (license number 01027540A) 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 1356344972.

Contact Information

	Dr Ryan D Matherly, MD
	2115 W Lexington Ave, Elkhart, IN 46514-1423
	(574) 296-3955
	(574) 296-3999

Map and Direction

Physician's Profile

Full Name	Dr Ryan D Matherly
Gender	Male
Speciality	Family Medicine
Location	2115 W Lexington Ave, Elkhart, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356344972
Provider Enumeration Date: 05/27/2005
Last Update Date: 10/19/2010

Medicare PECOS Information:

PECOS PAC ID: 9335141605
Enrollment ID: I20110103000309

Medical Identifiers

Medical identifiers for Dr Ryan D Matherly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356344972	NPI	-	NPPES
100112400A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01027540A (Indiana)	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 Ryan D Matherly allows following entities to bill medicare on his behalf.

Entity Name	Elkhart Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164846945 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052

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 Ryan D Matherly 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
Dr Ryan D Matherly, MD Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3955	Dr Ryan D Matherly, MD 2115 W Lexington Ave, Elkhart, IN 46514-1423 Ph: (574) 296-3955

Reviews and Comments

Family Medicine Doctors in Elkhart, IN

Jason J Hix, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 California Road, Elkhart, IN 46514 Phone: 574-264-4163 Fax: 574-262-9650
Dr. David M Dyck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 Fax: 574-262-0398
Sam Joseph Borrelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25651 County Road 20, Elkhart, IN 46517 Phone: 574-522-1201
Saadia Qasim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-264-9635 Fax: 574-262-0398
Dr. Genevieve A Lankowicz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 East Blvd, West Wing, Elkhart, IN 46514 Phone: 574-523-2751 Fax: 574-389-4840
Lydia K Mertz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 608 Oakland Ave, Elkhart, IN 46516 Phone: 574-523-2127 Fax: 574-522-2192
Susan Marie Moore-riesbeck, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056

Dr Ryan D Matherly, MD - Medicare Family Medicine in Elkhart, IN