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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Carbondale, Illinois. The current practice location for is 300 W Oak St, Carbondale, Illinois. For appointments, you can reach them via phone at (618) 536-6621. The mailing address for is Po Box 19639, Springfield, Illinois and phone number is (217) 545-7578.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1437708674. 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) 536-6621.

Contact Information


	300 W Oak St Carbondale IL 62901-1400
	(618) 536-6621
	(618) 453-1102

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	300 W Oak St, Carbondale, Illinois
Authorized Official Name and Position	Iris Wesley (CEO)
Authorized Official Contact	2175458000
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 19639 Springfield IL 62794-9639 Ph: (217) 545-7578	300 W Oak St Carbondale IL 62901-1400 Ph: (618) 536-6621

NPI Details:

NPI Number	1437708674
Provider Enumeration Date	09/10/2019
Last Update Date	01/09/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	4486667888
Medicare Enrollment ID	O20191008000423

Medical Identifiers

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

Identifier	Type	State	Issuer
1437708674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Carbondale, IL

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Southern Illinois Gi Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434
Carbondale Community High Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Giant City Rd, Carbondale, IL 62902 Phone: 618-457-4722 Fax: 618-457-3353
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Brown's Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Jackson St, Carbondale, IL 62901 Phone: 618-351-9559

- Medicare Primary Care in Carbondale, IL