William S Mattox, APRN, CNP in Rockford, IL - Medicare Nurse Practitioner

William S Mattox, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Illinois. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Glacier Community Health Center Inc and 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) 395-4548.

William S Mattox is licensed to practice in Illinois (license number 209.011406) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720492507.

Contact Information

	William S Mattox, APRN, CNP
	5666 E State St, Rockford, IL 61108-2425
	(815) 395-4548
	(815) 639-8501

Map and Direction

Provider's Profile

Full Name	William S Mattox
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	5666 E State St, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

William S Mattox graduated from nursing school in 2014

NPI Data:

NPI Number: 1720492507
Provider Enumeration Date: 06/19/2014
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 1254657562
Enrollment ID: I20220105002128

Medical Identifiers

Medical identifiers for William S Mattox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720492507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.248851 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.011406 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Rockies Medical Center	Cut bank, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Glacier Community Health Center Inc	6305732124	9

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. William S Mattox allows following entities to bill medicare on his behalf.

Entity Name	Glacier Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780764274 PECOS PAC ID: 6305732124 Enrollment ID: O20050401000696

Entity Name	Bozeman Health Deaconess Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559

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. William S Mattox 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
William S Mattox, APRN, CNP 871 Cook Blvd, Bradley, IL 60915-2620 Ph: (815) 450-7711	William S Mattox, APRN, CNP 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 395-4548

Reviews and Comments

Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433

William S Mattox, APRN, CNP - Medicare Nurse Practitioner in Rockford, IL