Abraham Lincoln Memorial Hospital - Medicare Primary Care in Lincoln, IL

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Abraham Lincoln Memorial Hospital is a medicare enrolled primary clinic (Nurse Anesthetist, Certified Registered) in Lincoln, Illinois. The current practice location for Abraham Lincoln Memorial Hospital is 200 Stahlhut Dr, Lincoln, Illinois. For appointments, you can reach them via phone at (217) 732-2161. The mailing address for Abraham Lincoln Memorial Hospital is Po Box 3428, Springfield, Illinois and phone number is (217) 588-2624.

Abraham Lincoln Memorial Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558586180. 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) 732-2161.

Contact Information

Abraham Lincoln Memorial Hospital
200 Stahlhut Dr
Lincoln
IL 62656-5066
(217) 732-2161
(217) 735-3526

Map and Direction


Primary Care Clinic Profile

Full NameAbraham Lincoln Memorial Hospital
SpecialityNurse Anesthetist, Certified Registered
Location200 Stahlhut Dr, Lincoln, Illinois
Authorized Official Name and PositionHeidi C Maltimore (MANAGER)
Authorized Official Contact2175886405
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Abraham Lincoln Memorial Hospital
Po Box 3428
Springfield
IL 62708-3428

Ph: (217) 588-2624		Abraham Lincoln Memorial Hospital
200 Stahlhut Dr
Lincoln
IL 62656-5066

Ph: (217) 732-2161

NPI Details:

NPI Number1558586180
Provider Enumeration Date04/17/2007
Last Update Date03/10/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9436040573
Medicare Enrollment IDO20101123001008

Medical Identifiers

Medical identifiers for Abraham Lincoln Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558586180NPI-NPPES
F100606037OtherILMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
282N00000XGeneral Acute Care Hospital 0000018 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered (* (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. Abraham Lincoln Memorial Hospital acts as a billing entity for following providers:
Provider NameJon N Jessen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912970823
PECOS PAC ID: 0446152979
Enrollment ID: I20060131000162
Provider NameBruce Anderson Demont
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114971652
PECOS PAC ID: 3274545231
Enrollment ID: I20060613000119
Provider NameShelley Daigh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093978892
PECOS PAC ID: 4587732821
Enrollment ID: I20081014000246
Provider NameTed R Clark
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497914741
PECOS PAC ID: 7618020975
Enrollment ID: I20090804000267
Provider NameBrett M Jones
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659583755
PECOS PAC ID: 2567501992
Enrollment ID: I20091125000026
Provider NameKatherine D Anderson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679772511
PECOS PAC ID: 6709912256
Enrollment ID: I20100413000049
Provider NameAnn R Larson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013249879
PECOS PAC ID: 3971632829
Enrollment ID: I20100602000517
Provider NameSarah B Stambaugh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730128687
PECOS PAC ID: 6709042799
Enrollment ID: I20120718000900
Provider NameSumesh S Jain
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043507999
PECOS PAC ID: 2668611534
Enrollment ID: I20140505001153
Provider NameJerel Watson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760747406
PECOS PAC ID: 6507005303
Enrollment ID: I20150406002139
Provider NameDaniel Brian Savage
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568889558
PECOS PAC ID: 0244454742
Enrollment ID: I20180626002736
Provider NameKelli A Levek
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992187934
PECOS PAC ID: 3577876416
Enrollment ID: I20180724000902
Provider NameKenneth Guillotte
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649709668
PECOS PAC ID: 4880964295
Enrollment ID: I20200408003055
Provider NameBrandon W Koser
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245751254
PECOS PAC ID: 8729337050
Enrollment ID: I20200417002187
Provider NameJase Camp
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932691292
PECOS PAC ID: 4981951233
Enrollment ID: I20210609002900
Provider NameNida Naeem Khan Feller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366937575
PECOS PAC ID: 6800143678
Enrollment ID: I20210802001994
Provider NameAlexis C Gazda
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043874761
PECOS PAC ID: 8224360722
Enrollment ID: I20220203000766
Provider NameEvan Jenkins
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225650773
PECOS PAC ID: 4880018407
Enrollment ID: I20230721000643

Reviews and Comments


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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.