Russell Coulter, MD in Sparta, IL - Medicare Family Practice

Russell Coulter, MD is a medicare enrolled "Family Medicine" physician in Sparta, Illinois. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sparta Community Hospital D/b/a Quality Healthcare Clinics and his current practice location is Family Health Centre, 207 South Burns Ave, Sparta, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 443-3084.

Russell Coulter is licensed to practice in Illinois (license number 036064147) 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 1548227606.

Contact Information

	Russell Coulter, MD
	Family Health Centre, 207 South Burns Ave, Sparta, IL 62286
	(618) 443-3084
	Not Available

Map and Direction

Physician's Profile

Full Name	Russell Coulter
Gender	Male
Speciality	Family Practice
Experience	44 Years
Location	Family Health Centre, Sparta, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Russell Coulter graduated from medical school in 1980

NPI Data:

NPI Number: 1548227606
Provider Enumeration Date: 05/01/2006
Last Update Date: 06/04/2020

Medicare PECOS Information:

PECOS PAC ID: 3870515661
Enrollment ID: I20060314000618

Medical Identifiers

Medical identifiers for Russell Coulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548227606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036064147 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vitas Healthcare Corporation Midwest	Fairview heights, IL	Hospice
Hospice Of Southern Ill, Inc	Belleville, IL	Hospice
Sparta Community Hospital	Sparta, IL	Hospital
Randolph County Care Center	Sparta, IL	Nursing home
Coulterville Rehab & Hcc	Coulterville, IL	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sparta Community Hospital D/b/a Quality Healthcare Clinics	6709870462	38

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. Russell Coulter allows following entities to bill medicare on his behalf.

Entity Name	Sparta Community Hospital D/b/a Quality Healthcare Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594

Entity Name	Sparta Community Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1548216476 PECOS PAC ID: 3971408295 Enrollment ID: O20071002000435

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. Russell Coulter 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 Address	Practice Location Address
Russell Coulter, MD Family Health Centre, 207 South Burns Ave, Sparta, IL 62286 Ph: (618) 443-3084	Russell Coulter, MD Family Health Centre, 207 South Burns Ave, Sparta, IL 62286 Ph: (618) 443-3084

Reviews and Comments

Family Medicine Doctors in Sparta, IL

Elvira Salarda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Sparta Medical Office, 215 South Burns, Sparta, IL 62286 Phone: 618-443-4889
David Taewoong Chung, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-4138 Fax: 618-443-2956
Dr. Scott I Barclay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 N Market St, Sparta, IL 62286 Phone: 618-443-1337 Fax: 618-443-1383
Febijesusola Deborah Oyelana, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 818 E Broadway St, Sparta, IL 62286 Phone: 618-443-2177
Dr. Carl Setford Schlageter, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 E Broadway St, Sparta, IL 62286 Phone: 618-443-3234 Fax: 618-443-3234

Russell Coulter, MD - Medicare Family Practice in Sparta, IL