Travis Michael Seddon, NP-C - Medicare Nurse Practitioner in Carbondale, IL

Travis Michael Seddon, NP-C is a medicare enrolled "Nurse Practitioner" physician in Carbondale, Illinois. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kidney Disease And Medicine Specialty Consultants Llc and his current practice location is 1350 Cedar Ct, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 529-2955.

Travis Michael Seddon is licensed to practice in Illinois (license number 209024033) 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 1265103006.

Contact Information

Travis Michael Seddon, NP-C
1350 Cedar Ct,
Carbondale, IL 62901-5336
(618) 529-2955
(618) 457-7823



Physician's Profile

Full NameTravis Michael Seddon
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location1350 Cedar Ct, Carbondale, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Travis Michael Seddon graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1265103006
  • Provider Enumeration Date: 09/22/2021
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4880084128
  • Enrollment ID: I20211201001042

Medical Identifiers

Medical identifiers for Travis Michael Seddon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265103006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 209.024033 (Illinois)Secondary
363L00000XNurse Practitioner 209024033 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Heartland Regional Medical CenterMarion, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kidney Disease And Medicine Specialty Consultants Llc10523915216

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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. Travis Michael Seddon allows following entities to bill medicare on his behalf.
Entity NameKidney Disease And Medicine Specialty Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538190129
PECOS PAC ID: 1052391521
Enrollment ID: O20040723001080

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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. Travis Michael Seddon 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 AddressPractice Location Address
Travis Michael Seddon, NP-C
Po Box 2528,
Carbondale, IL 62902-2528

Ph: () -
Travis Michael Seddon, NP-C
1350 Cedar Ct,
Carbondale, IL 62901-5336

Ph: (618) 529-2955

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