Mattison N Perez, PA is a medicare enrolled "Physician Assistant" in Smithton, Illinois. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is
4017 Illinois State Route 159, Suite 101, Smithton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 257-2875.
Mattison N Perez is licensed to practice in Illinois (license number 085005603) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003285560.
Provider's Profile
| Full Name | Mattison N Perez |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 4017 Illinois State Route 159, Smithton, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mattison N Perez graduated from nursing school in 2015
NPI Data:
- NPI Number: 1003285560
- Provider Enumeration Date: 09/15/2015
- Last Update Date: 03/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860700820
- Enrollment ID: I20150924003010
Medical Identifiers
Medical identifiers for Mattison N Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003285560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 085005603 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fairview Heights Medical Group Sc | 6800784083 | 346 |
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. Mattison N Perez 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 |
|---|
Mattison N Perez, PA
4017 State Route 159 Ste 101,
Smithton, IL 62285-2510
Ph: (618) 257-2875 | Mattison N Perez, PA
4017 Illinois State Route 159, Suite 101,
Smithton, IL 62285
Ph: (618) 257-2875 |
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