Moultrie County Mental Health Center - Medicare Mental Health Clinic in Sullivan, IL

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Moultrie County Mental Health Center is a medicare enrolled mental health clinic (Community/behavioral Health) in Sullivan, Illinois. The current practice location for Moultrie County Mental Health Center is 12 W Harrison St, Sullivan, Illinois. For appointments, you can reach them via phone at (217) 728-4358. The mailing address for Moultrie County Mental Health Center is 12 W Harrison St, Sullivan, Illinois and phone number is (217) 728-4358.

Moultrie County Mental Health Center is licensed to practice in Illinois (license number 04105). The clinic also participates in the medicare program and its NPI number is 1811025240. 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 (217) 728-4358.

Contact Information

Moultrie County Mental Health Center
12 W Harrison St
Sullivan
IL 61951-1907
(217) 728-4358
(217) 728-2270

Map and Direction


Mental Health Clinic Profile

Full NameMoultrie County Mental Health Center
SpecialityCommunity/Behavioral Health
Location12 W Harrison St, Sullivan, Illinois
Authorized Official Name and PositionDavid L. Cole (EXECUTIVE DIRECTOR)
Authorized Official Contact2177284358
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Moultrie County Mental Health Center
12 W Harrison St
Sullivan
IL 61951-1907

Ph: (217) 728-4358		Moultrie County Mental Health Center
12 W Harrison St
Sullivan
IL 61951-1907

Ph: (217) 728-4358

NPI Details:

NPI Number1811025240
Provider Enumeration Date02/28/2007
Last Update Date07/25/2016

Medicare PECOS Information:

Medicare PECOS PAC ID9739268996
Medicare Enrollment IDO20160725002454

Medical Identifiers

Medical identifiers for Moultrie County Mental Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811025240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) A-0043-0002-A (Illinois)Secondary
101YM0800XCounselor - Mental Health 04105 (Illinois)Secondary
101YP2500XCounselor - Professional 180.005810 (Illinois)Secondary
101YP2500XCounselor - Professional 178.004724 (Illinois)Secondary
101YP2500XCounselor - Professional 180.003537 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 149.011051 (Illinois)Secondary
251S00000XCommunity/behavioral Health 04105 (Illinois)Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 36052881 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Moultrie County Mental Health Center acts as a billing entity for following providers:
Provider NameRohidas T Patil
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871601989
PECOS PAC ID: 6800854092
Enrollment ID: I20041220000724
Provider NameDavid L Cole
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164660775
PECOS PAC ID: 5294973640
Enrollment ID: I20130822000066
Provider NameAngela Schmohe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457838179
PECOS PAC ID: 7911361274
Enrollment ID: I20230919004077

Reviews and Comments

Community/Behavioral Health in Sullivan, IL

Ap Therapeutic Practice
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16 Kas Villa Acres, Sullivan, IL 61951
Phone: 601-207-0774    

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.