Matthew P Datzman, MD | |
105 Kane Rd, Eldorado, IL 62930-3736 | |
(618) 268-6212 | |
Not Available |
Full Name | Matthew P Datzman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 105 Kane Rd, Eldorado, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043254386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | (Illinois) | Primary |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Entity Name | Hammond Henry Dist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20071211000175 |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Entity Name | Hammond Henry Dist Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20180131000293 |
Entity Name | Statera Health Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
Entity Name | Midwest Emergency Anderson Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647615 PECOS PAC ID: 8022401256 Enrollment ID: O20220210000357 |
Entity Name | Midwest Inpatient Anderson Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821758608 PECOS PAC ID: 3072908474 Enrollment ID: O20220322002045 |
Mailing Address | Practice Location Address |
---|---|
Matthew P Datzman, MD 105 Kane Rd, Eldorado, IL 62930-3736 Ph: (618) 268-6212 | Matthew P Datzman, MD 105 Kane Rd, Eldorado, IL 62930-3736 Ph: (618) 268-6212 |
Dr. Bruce A Sobko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Pine St, Eldorado, IL 62930 Phone: 618-273-3361 Fax: 618-273-2571 |