Dr John P Opilka, DO - Medicare Family Practice in Altamont, IL

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Dr John P Opilka, DO is a medicare enrolled "Family Medicine" physician in Altamont, Illinois. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sarah Bush Lincoln Health Center and his current practice location is 5 E Cumberland Rd, Altamont, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 483-6151.

Dr John P Opilka is licensed to practice in Illinois (license number 036099320) 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 1497715056.

Contact Information

Dr John P Opilka, DO
5 E Cumberland Rd,
Altamont, IL 62411-1271
(618) 483-6151
(618) 483-6153

Map and Direction




Physician's Profile

Full NameDr John P Opilka
GenderMale
SpecialityFamily Practice
Experience29 Years
Location5 E Cumberland Rd, Altamont, 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:
  • Dr John P Opilka graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1497715056
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 04/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698674984
  • Enrollment ID: I20051121000215

Medical Identifiers

Medical identifiers for Dr John P Opilka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497715056NPI-NPPES
080191496OtherILRAILROAD MEDICARE
170988OtherILPERSONAL CARE
1735285OtherFIRST HEALTH/ COVENTRY
412343OtherILHEALTHLINK
0032540022OtherILBLUE CROSS BLUE SHIELD IL
055846OtherILHEALTH ALLIANCE
371391171001MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036099320 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs Home Care Southern IllinoisEffingham, ILHome health agency
Lincolnland Home Care Of SblMattoon, ILHome health agency
Fayette County Health DeptVandalia, ILHome health agency
St Anthonys Memorial HospitalEffingham, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Fayette County HospitalVandalia, ILHospital
Aperion Care St ElmoSt elmo, ILNursing home
Lutheran Care CenterAltamont, ILNursing home
Helia Healthcare Of NewtonNewton, ILNursing home
Evergreen Nursing & Rehab CenterEffingham, ILNursing home
Lakeland Rehab & Healthcare CenterEffingham, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sarah Bush Lincoln Health Center5092614867327

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. Dr John P Opilka allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741

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. Dr John P Opilka 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
Dr John P Opilka, DO
1005 Health Center Dr Ste 201,
Mattoon, IL 61938-4653

Ph: (217) 342-3400		Dr John P Opilka, DO
5 E Cumberland Rd,
Altamont, IL 62411-1271

Ph: (618) 483-6151

Reviews and Comments


Family Medicine Doctors in Altamont, IL

Robert W Frost, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Do It Dr, Altamont, IL 62411
Phone: 618-483-6131    Fax: 618-483-6718
Bernie Ranchero, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 E Cumberland Rd, Altamont, IL 62411
Phone: 618-483-6131    

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.