<unavail> in Belleville, IL - Medicare Clinic/Center

is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Belleville, Illinois. The current practice location for is 180 S 3rd St Ste 103&104, Belleville, Illinois. For appointments, you can reach them via phone at (618) 233-5480. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780609578. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (618) 233-5480.

Contact Information


	180 S 3rd St Ste 103&104 Belleville IL 62220
	(618) 233-5480
	(618) 233-4790

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Clinic/Center
Location	180 S 3rd St Ste 103&104, Belleville, Illinois
Authorized Official Name and Position	Larry Mcculley (CHIEF OPERATING OFFICER)
Authorized Official Contact	6183320783
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303	180 S 3rd St Ste 103&104 Belleville IL 62220 Ph: (618) 233-5480

NPI Details:

NPI Number	1780609578
Provider Enumeration Date	07/13/2006
Last Update Date	08/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	1456256874
Medicare Enrollment ID	O20060208000832

Medical Identifiers

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

Identifier	Type	State	Issuer
1780609578	NPI	-	NPPES
732740	Other	IL	WPS MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
207N00000X	Dermatology	(* (Not Available))	Secondary
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Belleville, IL

Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 N Belt W, Belleville, IL 62226 Phone: 800-505-8051 Fax: 618-671-6574
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Project Odyssey Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Gass Ave, Belleville, IL 62220 Phone: 337-602-8884 Fax: 618-418-4422
Catholic Social Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8601 W Main St, Belleville, IL 62223 Phone: 618-394-5900
Covered Bridge Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7312 W Main St, Belleville, IL 62223 Phone: 618-792-6660
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8601 West Main Street Suite 201, Belleville, IL 62226 Phone: 618-397-5900 Fax: 618-394-5909

- Medicare Mental Health Clinic in Belleville, IL