| Deaconess Illinois Rural Health Clinic Red Bud | |
|
325 Spring St Red Bud IL 62278-1105 | |
| (618) 282-7373 | |
| (618) 282-7376 |
| Full Name | Deaconess Illinois Rural Health Clinic Red Bud |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Spring St, Red Bud, Illinois |
| Authorized Official Name and Position | Amber Lipe (CFO) |
| Authorized Official Contact | 6189987020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaconess Illinois Rural Health Clinic Red Bud Po Box 34143 Belfast ME 04915-0619 Ph: (812) 450-6815 | Deaconess Illinois Rural Health Clinic Red Bud 325 Spring St Red Bud IL 62278-1105 Ph: (618) 282-7373 |
| NPI Number | 1619693926 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 9537531579 |
|---|---|
| Medicare Enrollment ID | O20230221000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619693926 | NPI | - | NPPES |
| Provider Name | Rosanne L Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154422673 PECOS PAC ID: 5991792855 Enrollment ID: I20040430000710 |
| Provider Name | Amy L Rohlfing |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255335188 PECOS PAC ID: 3779511258 Enrollment ID: I20050727000618 |
| Provider Name | Julie L Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306980552 PECOS PAC ID: 0345273579 Enrollment ID: I20050916000808 |
| Provider Name | Tracy M Hasler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336230499 PECOS PAC ID: 8921160003 Enrollment ID: I20091210000266 |
| Provider Name | Susan Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740286988 PECOS PAC ID: 0345377438 Enrollment ID: I20100421000692 |
| Provider Name | Angela K Schloer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992971535 PECOS PAC ID: 9335379445 Enrollment ID: I20140310001911 |
| Provider Name | Danielle A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508219056 PECOS PAC ID: 8729373758 Enrollment ID: I20160830000085 |
| Provider Name | Charmaine E Edwards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972586253 PECOS PAC ID: 1557451234 Enrollment ID: I20161110001707 |
| Provider Name | Brett L Hutcherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265871750 PECOS PAC ID: 8224330634 Enrollment ID: I20161207000210 |
| Provider Name | Lisa Riechmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588011803 PECOS PAC ID: 3375825888 Enrollment ID: I20170118000885 |
| Provider Name | Ziya Baghmanli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699068767 PECOS PAC ID: 4688978240 Enrollment ID: I20170627001916 |
| Provider Name | Margret De Guzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477852028 PECOS PAC ID: 6103047543 Enrollment ID: I20190510000846 |
| Provider Name | Danielle Schnoeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144871120 PECOS PAC ID: 2264867340 Enrollment ID: I20200117001564 |
| Provider Name | Adrian R Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477086239 PECOS PAC ID: 4880004977 Enrollment ID: I20201030000978 |
| Provider Name | Kara Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780256412 PECOS PAC ID: 6507264066 Enrollment ID: I20211013003028 |
| Provider Name | Amanda Lorin Taylor Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013533579 PECOS PAC ID: 0648650788 Enrollment ID: I20220706003511 |
| Provider Name | Abby Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063615714 PECOS PAC ID: 4587852959 Enrollment ID: I20230817002492 |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route Three, Red Bud, IL 62278 Phone: 618-282-6233 | |
Comwell Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 | |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 | |
Health Focus Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 S Main St, Red Bud, IL 62278 Phone: 618-980-9060 Fax: 618-270-4775 | |
Growing Mindful Dbt And Wellness Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 126 Park Plaza Dr, Red Bud, IL 62278 Phone: 573-883-0372 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 |