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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Breese, Illinois. The current practice location for is 9401 Holy Cross Ln # 112, Breese, Illinois. For appointments, you can reach them via phone at (618) 526-7271. The mailing address for is 3051 Hollis Dr, Springfield, Illinois and phone number is (618) 526-7271.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013002658. 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) 526-7271.

Contact Information


	9401 Holy Cross Ln # 112 Breese IL 62230-3510
	(618) 526-7271
	(618) 526-7313

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	9401 Holy Cross Ln # 112, Breese, Illinois
Authorized Official Name and Position	Mark Duane Evard (VP OF REVENUE CYCLE)
Authorized Official Contact	2174929651
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3051 Hollis Dr Springfield IL 62704-7450 Ph: (618) 526-7271	9401 Holy Cross Ln # 112 Breese IL 62230-3510 Ph: (618) 526-7271

NPI Details:

NPI Number	1013002658
Provider Enumeration Date	10/03/2006
Last Update Date	01/29/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	9638064892
Medicare Enrollment ID	O20090521000178

Medical Identifiers

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

Identifier	Type	State	Issuer
1013002658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Breese, IL

Competitive Edge Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14160 Jamestown Rd, Breese, IL 62230 Phone: 618-526-2603 Fax: 618-526-1435
Cep America- Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 N 1st St, Breese, IL 62230 Phone: 618-526-4521
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511 Fax: 618-222-4703
Douglas A Kruse Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9495 Holy Cross Ln, Suite 103, Breese, IL 62230 Phone: 618-526-2222 Fax: 618-526-7680
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9409 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-7399 Fax: 618-526-7399
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9515 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-4511

- Medicare Primary Care in Breese, IL