Kurt A Maddock, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Murphysboro, Illinois. He went to Indiana University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. He is a member of the group practice Southern Illinois Medical Services Nfp and his current practice location is
2 S Hospital Dr, Murphysboro, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 684-1035.
Kurt A Maddock is licensed to practice in Illinois (license number 036.144660) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740253707.
Physician's Profile
Full Name | Kurt A Maddock |
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Gender | Male |
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Speciality | Undersea And Hyperbaric Medicine |
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Experience | 39 Years |
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Location | 2 S Hospital Dr, Murphysboro, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kurt A Maddock attended and graduated from Indiana University School Of Medicine in 1985
NPI Data:
- NPI Number: 1740253707
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 08/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648184192
- Enrollment ID: I20180515001899
Medical Identifiers
Medical identifiers for Kurt A Maddock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740253707 | NPI | - | NPPES |
000000599251 | Other | IN | ANTHEM |
P00658239 | Other | IN | RAILROAD MEDICARE |
100318820A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 01038293A (Indiana) | Secondary |
208600000X | Surgery | 036144660 (Illinois) | Secondary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 036.144660 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Illinois Medical Services Nfp | 3678677390 | 252 |
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. Kurt A Maddock allows following entities to bill medicare on his behalf.
Entity Name | Good Samaritan Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
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Entity Name | St Marys Hospital Centralia Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
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Entity Name | Southern Illinois Medical Services Nfp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
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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. Kurt A Maddock 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 |
Kurt A Maddock, MD Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Kurt A Maddock, MD 2 S Hospital Dr, Murphysboro, IL 62966-3333 Ph: (618) 684-1035 |
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