- Medicare Dental Clinic in Salem, IL

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is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Salem, Illinois. The current practice location for is 1275 Hawthorn Rd, Salem, Illinois. For appointments, you can reach them via phone at (618) 548-4545. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376588848. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 548-4545.

Contact Information

1275 Hawthorn Rd
Salem
IL 62881-1028
(618) 548-4545
(618) 548-4577

Map and Direction


Dental Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1275 Hawthorn Rd, Salem, Illinois
Authorized Official Name and PositionLarry Mcculley (CHIEF OPERATING OFFICER)
Authorized Official Contact6183320783
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

8080 State St
East Saint Louis
IL 62203-1808

Ph: (618) 397-3303
1275 Hawthorn Rd
Salem
IL 62881-1028

Ph: (618) 548-4545

NPI Details:

NPI Number1376588848
Provider Enumeration Date06/18/2006
Last Update Date04/20/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1456256874
Medicare Enrollment IDO20081029000945

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376588848NPI-NPPES
201518OtherILWPS MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Dental Clinics in Salem, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.