John A Mattingly, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Swansea, Illinois. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1952355786
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 01/11/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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