Rachel Durham, MD - Medicare Obstetrics/gynecology in Alton, IL

Rachel Durham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Alton, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is 1 Professional Dr Ste 230, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-8500.

Rachel Durham is licensed to practice in Illinois (license number 036132986) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730318890.

Contact Information

Rachel Durham, MD
1 Professional Dr Ste 230,
Alton, IL 62002-5068
(618) 463-8500
(618) 344-2052

Map and Direction




Physician's Profile

Full NameRachel Durham
GenderFemale
SpecialityObstetrics/gynecology
Experience15 Years
Location1 Professional Dr Ste 230, Alton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rachel Durham attended and graduated from Southern Illinois University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1730318890
  • Provider Enumeration Date: 07/10/2009
  • Last Update Date: 04/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577705771
  • Enrollment ID: I20130819000592

Medical Identifiers

Medical identifiers for Rachel Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730318890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 125-055919 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036132986 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alton Memorial HospitalAlton, ILHospital
Christian Hospital NortheastSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083346

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. Rachel Durham allows following entities to bill medicare on her behalf.
Entity NameAlton Multispecialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942312442
PECOS PAC ID: 0840194882
Enrollment ID: O20031121000610
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650

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. Rachel Durham 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
Rachel Durham, MD
660 Mason Ridge Center Dr Ste 300,
Saint Louis, MO 63141-8512

Ph: (314) 448-3791
Rachel Durham, MD
1 Professional Dr Ste 230,
Alton, IL 62002-5068

Ph: (618) 463-8500

Reviews and Comments


Obstetrics & Gynecology Doctors in Alton, IL

Dr. Jamie Hardman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Megan Sauer, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Professional Dr, Alton, IL 62002
Phone: 618-463-8555    
Dr. Geoffrey L. Turner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Dr. Clifford Glenn Martin, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2 Saint Anthonys Way, Alton, IL 62002
Phone: 618-462-2222    
Joseph M Talsky, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 125, Alton, IL 62002
Phone: 618-433-6410    
Dr. Bindu N Patel, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 125, Alton, IL 62002
Phone: 618-433-6410    Fax: 618-433-6420

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.