Matthew Kottackal George, MD in Rockford, IL

Matthew Kottackal George, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Rockford, Illinois. His current practice location is 5666 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 226-2000.

Matthew Kottackal George is licensed to practice in Illinois (license number 036.166381) 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 1821484601.

Contact Information

	Matthew Kottackal George, MD
	5666 E State St, Rockford, IL 61108-2425
	(815) 226-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Kottackal George
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	5666 E State St, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821484601
Provider Enumeration Date: 04/08/2015
Last Update Date: 08/17/2024

Medicare PECOS Information:

PECOS PAC ID: 4688945660
Enrollment ID: I20230825002566

Medical Identifiers

Medical identifiers for Matthew Kottackal George such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821484601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	036.166381 (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 Kottackal George allows following entities to bill medicare on his behalf.

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 Kottackal George 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 Kottackal George, MD 6421 Burberry Dr, Rockford, IL 61114-7807 Ph: (518) 391-0548	Matthew Kottackal George, MD 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 226-2000

Reviews and Comments

Surgery Doctors in Rockford, IL

Jeffrey Andrew Barteau, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5668 E State St, Rockford, IL 61108 Phone: 815-229-7580 Fax: 815-229-7585
Dacia Aurelia Pickering, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5668 E State St, #2, Rockford, IL 61108 Phone: 815-397-7900 Fax: 815-397-4839
Arvind Mahatme, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7180 Spring Brook Rd, Rockford, IL 61114 Phone: 815-971-2299 Fax: 815-971-9959
Dr. Andrew Paul Hoffman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5668 E State St, Rockford, IL 61108 Phone: 815-229-7580
Dr. Jacinto Garcia Obregon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 535 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-0175 Fax: 815-398-9587
Dr. Vishnu Raj Kumar Mani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066
Dr. David M Cheng, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2350 N Rockton Ave, Rmb 1st Floor, Rockford, IL 61103 Phone: 815-971-2485

Matthew Kottackal George, MD - Medicare Surgery in Rockford, IL