John A Mattingly, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Swansea, Illinois. He went to Saint Louis University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ernst Radiology Clinic Inc, Ernst Radiology Clinic, Inc, Ernst Radiology Clinic Inc, Ernst Radiology Clinic, Inc and his current practice location is
12 Wolf Creek Dr, Swansea, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 277-7912.
John A Mattingly is licensed to practice in Illinois (license number 0036096843) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1952355786.
Physician's Profile
| Full Name | John A Mattingly |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 31 Years |
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| Location | 12 Wolf Creek Dr, Swansea, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John A Mattingly attended and graduated from Saint Louis University School Of Medicine in 1993
NPI Data:
- NPI Number: 1952355786
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 01/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 7315987468
- Enrollment ID: I20050509000257
Medical Identifiers
Medical identifiers for John A Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952355786 | NPI | - | NPPES |
| P01026934 | Other | | RR MEDICARE |
| 366096843 | Medicaid | IL | |
| 0360916843 | Medicaid | IL | |
| 376069 | Other | | HEALTHLINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0036096843 (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 103379 (Missouri) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | 036096843 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 42628 (Kentucky) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01066438A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | D0068341 (Maryland) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | 103379 (Missouri) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | 42628 (Kentucky) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | 01066438A (Indiana) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | D0068341 (Maryland) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ernst Radiology Clinic Inc | 2264829639 | 13 |
| Ernst Radiology Clinic, Inc | 2961488366 | 17 |
| Ernst Radiology Clinic Inc | 2264829639 | 13 |
| Ernst Radiology Clinic, Inc | 2961488366 | 17 |
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. John A Mattingly allows following entities to bill medicare on his behalf.
| Entity Name | Ernst Radiology Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699425462
PECOS PAC ID: 2264829639
Enrollment ID: O20220504000429 |
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| Entity Name | Ernst Radiology Clinic, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629000971
PECOS PAC ID: 2961488366
Enrollment ID: O20230405001960 |
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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. John A Mattingly 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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John A Mattingly, MD
124 E Fairway Dr,
Belleville, IL 62223-2202
Ph: (618) 304-8392 | John A Mattingly, MD
12 Wolf Creek Dr,
Swansea, IL 62226-2314
Ph: (618) 277-7912 |
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