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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Jacksonville, Illinois. The current practice location for is 425 E State St., Ste 100, Jacksonville, Illinois. For appointments, you can reach them via phone at (217) 408-1195. The mailing address for is Po Box 19639, Springfield, Illinois and phone number is (217) 545-8000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598412447. 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) 408-1195.

Contact Information


	425 E State St., Ste 100 Jacksonville IL 62650-2125
	(217) 408-1195
	(217) 408-1231

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	425 E State St., Ste 100, Jacksonville, 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) 545-8000	425 E State St., Ste 100 Jacksonville IL 62650-2125 Ph: (217) 408-1195

NPI Details:

NPI Number	1598412447
Provider Enumeration Date	03/09/2022
Last Update Date	01/09/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	4486667888
Medicare Enrollment ID	O20220414001368

Medical Identifiers

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

Identifier	Type	State	Issuer
1598412447	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 Jacksonville, IL

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Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113

- Medicare Primary Care in Jacksonville, IL