Dr Steven Richard Whealon, MD - Medicare Family Practice in Smithton, IL

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Dr Steven Richard Whealon, MD is a medicare enrolled "Family Medicine" physician in Smithton, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Salem Township Hospital and his current practice location is 504 S Main St, Smithton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 977-5005.

Dr Steven Richard Whealon is licensed to practice in Illinois (license number 036.136850) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1295099653.

Contact Information

Dr Steven Richard Whealon, MD
504 S Main St,
Smithton, IL 62285-1820
(618) 977-5005
Not Available

Map and Direction




Physician's Profile

Full NameDr Steven Richard Whealon
GenderMale
SpecialityFamily Practice
Experience12 Years
Location504 S Main St, Smithton, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Steven Richard Whealon graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1295099653
  • Provider Enumeration Date: 06/30/2012
  • Last Update Date: 05/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2567773658
  • Enrollment ID: I20150616001518

Medical Identifiers

Medical identifiers for Dr Steven Richard Whealon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295099653NPI-NPPES
036136850MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036136850 (Illinois)Secondary
207Q00000XFamily Medicine 036.136850 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Salem Township HospitalSalem, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salem Township Hospital084019527729

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 Steven Richard Whealon allows following entities to bill medicare on his behalf.
Entity NameSalem Township Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295739548
PECOS PAC ID: 0840195277
Enrollment ID: O20031126000688
Entity NameSalem Township Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1295739548
PECOS PAC ID: 0840195277
Enrollment ID: O20061104000630
Entity NameMedexpress Urgent Care Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033574256
PECOS PAC ID: 2264739804
Enrollment ID: O20160328001239

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 Steven Richard Whealon 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 Steven Richard Whealon, MD
504 S Main St,
Smithton, IL 62285-1820

Ph: (618) 977-5005		Dr Steven Richard Whealon, MD
504 S Main St,
Smithton, IL 62285-1820

Ph: (618) 977-5005

Reviews and Comments


Family Medicine Doctors in Smithton, IL

Christopher Schenewerk, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4017 Illinois State Route 159, Ste. 101, Smithton, IL 62285
Phone: 618-257-2875    Fax: 618-257-2895

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.