Matthew Scott Rettke, MD is a medicare enrolled "Pediatrics" physician in Grayling, Michigan. His current practice location is
1250 E Michigan Ave, Grayling, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 348-0550.
Matthew Scott Rettke is licensed to practice in Michigan (license number 4301064367) 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 1548250020.
Physician's Profile
Full Name | Matthew Scott Rettke |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1250 E Michigan Ave, Grayling, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548250020
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 12/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830465053
- Enrollment ID: I20171016001992
Medical Identifiers
Medical identifiers for Matthew Scott Rettke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548250020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 4301064367 (Michigan) | 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 Scott Rettke allows following entities to bill medicare on his behalf.
Entity Name | Munson Healthcare Grayling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
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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. Matthew Scott Rettke 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 Scott Rettke, MD 3781 Momentum Place, Chicago, IL 60689-5337 Ph: (231) 935-6080 | Matthew Scott Rettke, MD 1250 E Michigan Ave, Grayling, MI 49738-7074 Ph: (989) 348-0550 |
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