Matthew J Weidman, MD in Galesburg, IL

Matthew J Weidman, MD is a medicare enrolled "Pediatrics" physician in Galesburg, Illinois. His current practice location is 2028 N Seminary St, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 647-0201.

Matthew J Weidman is licensed to practice in Illinois (license number 036116945) 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 1134226145.

Contact Information

	Matthew J Weidman, MD
	2028 N Seminary St, Galesburg, IL 61401
	(309) 647-0201
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew J Weidman
Gender	Male
Speciality	Pediatrics
Location	2028 N Seminary St, Galesburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134226145
Provider Enumeration Date: 09/20/2006
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1850515230
Enrollment ID: I20140605001533

Medical Identifiers

Medical identifiers for Matthew J Weidman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134226145	NPI	-	NPPES
036116945	Medicaid	IL
09015685	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036116945 (Illinois)	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. Matthew J Weidman allows following entities to bill medicare on his behalf.

Entity Name	Osf Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Matthew J Weidman 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
Matthew J Weidman, MD 1706 W Agency Rd, West Burlington, IA 52655-1667 Ph: (319) 753-5177	Matthew J Weidman, MD 2028 N Seminary St, Galesburg, IL 61401 Ph: (309) 647-0201

Reviews and Comments

Pediatrics Doctors in Galesburg, IL

Lynn L Greeley, M.C. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054
Amy S Larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, Suite 304, Galesburg, IL 61401 Phone: 309-342-2144 Fax: 309-342-5104
B. S. Kesavan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 834 N Seminary St, Suite 302, Galesburg, IL 61401 Phone: 309-342-2171 Fax: 309-342-7205
Subash Paralikar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 834 N Seminary St, 304, Galesburg, IL 61401 Phone: 309-342-2144 Fax: 309-342-5104
Frank Peppers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 834 N Seminary St, Suite 302, Galesburg, IL 61401 Phone: 309-342-2171

Matthew J Weidman, MD - Medicare Pediatrics in Galesburg, IL