Adam D Houghton, MD - Medicare Family Practice in Bloomington, IL

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Adam D Houghton, MD is a medicare enrolled "Family Medicine" physician in Bloomington, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bloomington Primary Care, Ltd. and his current practice location is 9 Heartland Dr, Suite C, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 663-7642.

Adam D Houghton is licensed to practice in Illinois (license number 036.132740) 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 1568783439.

Contact Information

Adam D Houghton, MD
9 Heartland Dr, Suite C,
Bloomington, IL 61704-7732
(309) 663-7642
(309) 663-8359

Map and Direction




Physician's Profile

Full NameAdam D Houghton
GenderMale
SpecialityFamily Practice
Experience14 Years
Location9 Heartland Dr, Bloomington, 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:
  • Adam D Houghton attended and graduated from Southern Illinois University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1568783439
  • Provider Enumeration Date: 06/15/2010
  • Last Update Date: 05/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1557523586
  • Enrollment ID: I20131015001016

Medical Identifiers

Medical identifiers for Adam D Houghton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568783439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11015561A (Indiana)Secondary
207Q00000XFamily Medicine 036.132740 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Home Health-eastern RegionNormal, ILHome health agency
Central Dupage HospitalWinfield, ILHospital
St Joseph Medical CenterBloomington, ILHospital
Advocate Bromenn Medical CenterNormal, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bloomington Primary Care, Ltd.94363423758

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. Adam D Houghton allows following entities to bill medicare on his behalf.
Entity NameBloomington Primary Care, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689991929
PECOS PAC ID: 9436342375
Enrollment ID: O20101022001158
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameCarle Bromenn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104442615
PECOS PAC ID: 8921429499
Enrollment ID: O20200716000187

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. Adam D Houghton 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
Adam D Houghton, MD
9 Heartland Dr, Suite C,
Bloomington, IL 61704-7732

Ph: (309) 663-7642		Adam D Houghton, MD
9 Heartland Dr, Suite C,
Bloomington, IL 61704-7732

Ph: (309) 663-7642

Reviews and Comments


Family Medicine Doctors in Bloomington, IL

Dr. Justin James Holschbach, M.D.
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Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701
Phone: 309-663-5050    Fax: 309-662-3401
Jermy Enrique Crespo Gonzalez, MD
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Phone: 309-665-5996    
Stephen Belgrave, M.D.
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Daniel Marley, M.D.
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Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3170    
Mfowethu Theophilus Langeni, DO
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Medicare: Medicare Enrolled
Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701
Phone: 309-663-5050    Fax: 309-662-3401
Shilpa Mehta,
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Practice Location: 1505 Eastland Dr, Bloomington, IL 61701
Phone: 309-663-2100    Fax: 309-663-8322
Kenneth Wayne Birge Jr., MD
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Medicare: Accepting Medicare Assignments
Practice Location: 2502 E Empire St, Bloomington, IL 61704
Phone: 309-300-1031    

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.