Erie Evanston Health Center - Medicare Primary Care in Evanston, IL

Erie Evanston Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Evanston, Illinois. The current practice location for Erie Evanston Health Center is 1285 Hartrey, Evanston, Illinois. For appointments, you can reach them via phone at (312) 666-3494. The mailing address for Erie Evanston Health Center is 1701 W Superior, Chicago, Illinois and phone number is (312) 666-3494.

Erie Evanston Health Center is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1629328836. 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 (312) 666-3494.

Contact Information

Erie Evanston Health Center
1285 Hartrey
Evanston
IL 60202-1056
(312) 666-3494
(312) 666-0610

Map and Direction


Primary Care Clinic Profile

Full NameErie Evanston Health Center
SpecialityClinic/Center
Location1285 Hartrey, Evanston, Illinois
Authorized Official Name and PositionLee Francis (PRESIDENT AND CEO)
Authorized Official Contact3124327394
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Erie Evanston Health Center
1701 W Superior
Chicago
IL 60622-5646

Ph: (312) 666-3494
Erie Evanston Health Center
1285 Hartrey
Evanston
IL 60202-1056

Ph: (312) 666-3494

NPI Details:

NPI Number1629328836
Provider Enumeration Date09/14/2012
Last Update Date11/25/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9537050422
Medicare Enrollment IDO20121016000125

Medical Identifiers

Medical identifiers for Erie Evanston Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629328836NPI-NPPES
748480OtherILMEDICARE PART B
1616827OtherILB/C B/S

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Illinois)Primary

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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.