Timothy Alan Mathis, MD is a
Emergency Medicine physician based in Pinckneyville, Illinois. Timothy Alan Mathis is licensed to practice in Illinois (license number 0366088252) and his current practice location is 202 S Walnut St, Pinckneyville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 357-2791.
NPI number for Timothy Alan Mathis is 1235254350 and his current mailing address is 202 S Walnut St, Po Box 116, Pinckneyville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235254350.
Physician's Profile
Full Name | Timothy Alan Mathis |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 202 S Walnut St, Pinckneyville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235254350
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 03/23/2011
Medical Identifiers
Medical identifiers for Timothy Alan Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235254350 | NPI | - | NPPES |
036-088252 | Other | IL | STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 0366088252 (Illinois) | Primary |
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. Timothy Alan Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Timothy Alan Mathis, MD 202 S Walnut St, Po Box 116, Pinckneyville, IL 62274 Ph: (618) 357-2791 | Timothy Alan Mathis, MD 202 S Walnut St, Pinckneyville, IL 62274 Ph: (618) 357-2791 |
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