<unavail> in Belleville, IL - Medicare Community/Behavioral Health

is a medicare enrolled mental health clinic (Community/behavioral Health) in Belleville, Illinois. The current practice location for is 115 Lincoln Place Ct Ste 102, Belleville, Illinois. For appointments, you can reach them via phone at (252) 777-2387. The mailing address for is 115 Lincoln Place Ct Ste 102, Belleville, Illinois and phone number is (252) 777-2387.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255104212. 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 (252) 777-2387.

Contact Information


	115 Lincoln Place Ct Ste 102 Belleville IL 62221-5876
	(252) 777-2387
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Community/Behavioral Health
Location	115 Lincoln Place Ct Ste 102, Belleville, Illinois
Authorized Official Name and Position	Kelsey Leigh Quade (OWNER)
Authorized Official Contact	6189202876
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
115 Lincoln Place Ct Ste 102 Belleville IL 62221-5876 Ph: (252) 777-2387	115 Lincoln Place Ct Ste 102 Belleville IL 62221-5876 Ph: (252) 777-2387

NPI Details:

NPI Number	1255104212
Provider Enumeration Date	11/01/2023
Last Update Date	09/12/2024
Certification Date	09/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8921455643
Medicare Enrollment ID	O20241010000451

Medical Identifiers

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

Identifier	Type	State	Issuer
1255104212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kelsey Leigh Quade
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1942617394 PECOS PAC ID: 9830546555 Enrollment ID: I20241010000647

Reviews and Comments

Community/Behavioral Health in Belleville, IL

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- Medicare Mental Health Clinic in Belleville, IL