Family Healthcare Clinic - Medicare Primary Care in Benton, IL

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Family Healthcare Clinic is a medicare enrolled primary clinic (Internal Medicine) in Benton, Illinois. The current practice location for Family Healthcare Clinic is 201 Bailey Lane, Benton, Illinois. For appointments, you can reach them via phone at (618) 439-3161. The mailing address for Family Healthcare Clinic is 201 Bailey Lane, Benton, Illinois and phone number is (618) 439-3161.

Family Healthcare Clinic is licensed to practice in Illinois (license number 036085111). The clinic also participates in the medicare program and its NPI number is 1255369427. 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) 439-3161.

Contact Information

Family Healthcare Clinic
201 Bailey Lane
Benton
IL 62812-0000
(618) 439-3161
(618) 439-4049

Map and Direction


Primary Care Clinic Profile

Full NameFamily Healthcare Clinic
SpecialityInternal Medicine
Location201 Bailey Lane, Benton, Illinois
Authorized Official Name and PositionRikki Bonthron (CFO)
Authorized Official Contact6184393161
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Healthcare Clinic
201 Bailey Lane
Benton
IL 62812-0000

Ph: (618) 439-3161		Family Healthcare Clinic
201 Bailey Lane
Benton
IL 62812-0000

Ph: (618) 439-3161

NPI Details:

NPI Number1255369427
Provider Enumeration Date06/28/2006
Last Update Date02/25/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4082516042
Medicare Enrollment IDO20040121001102

Medical Identifiers

Medical identifiers for Family Healthcare Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255369427NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036085111 (Illinois)Primary
207R00000XInternal Medicine (* (Not Available))Secondary
363A00000XPhysician Assistant 085002236 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209005496 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Family Healthcare Clinic acts as a billing entity for following providers:
Provider NameRobert J Parks
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356380497
PECOS PAC ID: 3072406305
Enrollment ID: I20040202001157
Provider NameAlberto B Viloria
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740257104
PECOS PAC ID: 2365339553
Enrollment ID: I20040302001059
Provider NameRonald J Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679571897
PECOS PAC ID: 5496736027
Enrollment ID: I20040528000206
Provider NameSuhail Istanbouly
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407893886
PECOS PAC ID: 3870572100
Enrollment ID: I20040719001189
Provider NameRichard Rethorst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770530024
PECOS PAC ID: 4789670852
Enrollment ID: I20040818001267
Provider NameAndrew A West
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447247051
PECOS PAC ID: 2961470398
Enrollment ID: I20040922001088
Provider NameChinedu Uzoma Maduakolam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114912557
PECOS PAC ID: 7517952039
Enrollment ID: I20041006000361
Provider NameJohn D Hartman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851399976
PECOS PAC ID: 6204803034
Enrollment ID: I20050129000005
Provider NameMohammed H Ali
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184708547
PECOS PAC ID: 2365498144
Enrollment ID: I20050324000459
Provider NameRose Grunert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649378001
PECOS PAC ID: 4981641891
Enrollment ID: I20050412001352
Provider NameVaradendra B Panchamukhi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1447332457
PECOS PAC ID: 5799725974
Enrollment ID: I20050506000306
Provider NameGemilo V Resaba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760427199
PECOS PAC ID: 1153361100
Enrollment ID: I20050509000971
Provider NameSon Phong Le
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1902988009
PECOS PAC ID: 4981645173
Enrollment ID: I20050518000476
Provider NameCesar E Coello
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003997560
PECOS PAC ID: 5698716488
Enrollment ID: I20050523000328
Provider NameWroten M. Mcquirter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760410021
PECOS PAC ID: 8820013204
Enrollment ID: I20051014000244
Provider NameJeffrey S Chalfant
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811935166
PECOS PAC ID: 9133136641
Enrollment ID: I20060308000449
Provider NameChristopher J Ostromecki
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1497746390
PECOS PAC ID: 9537159579
Enrollment ID: I20060322000607
Provider NamePatrick L Riley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730133505
PECOS PAC ID: 8325059413
Enrollment ID: I20060607000018
Provider NameFrederick J Pfalzgraf
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1659385581
PECOS PAC ID: 9032116868
Enrollment ID: I20061108000526
Provider NameChristopher C Moore
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1013941392
PECOS PAC ID: 7810968476
Enrollment ID: I20061219000490
Provider NameRaed Al-dallow
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1164572095
PECOS PAC ID: 4688675903
Enrollment ID: I20070129000474
Provider NameIbrahim N Mansour
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1619076619
PECOS PAC ID: 0547365397
Enrollment ID: I20070424000048
Provider NameAnthony C Vacca
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497797401
PECOS PAC ID: 3173628864
Enrollment ID: I20070425000560
Provider NameMark Kiplagat Rotich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659393601
PECOS PAC ID: 3971694100
Enrollment ID: I20070802000294
Provider NameWalter A Parham
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487646972
PECOS PAC ID: 7012984859
Enrollment ID: I20080506000499
Provider NameJames Robert Lundy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245287085
PECOS PAC ID: 8820034697
Enrollment ID: I20090813000687
Provider NameMelinda B Moore
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1508003849
PECOS PAC ID: 2668528902
Enrollment ID: I20090928000737
Provider NameJohn A Flick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770782351
PECOS PAC ID: 9133314719
Enrollment ID: I20101109000442
Provider NameRaymund O Pineda
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841262789
PECOS PAC ID: 5698867034
Enrollment ID: I20101213000711
Provider NameElizabeth R Kraus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831495845
PECOS PAC ID: 2769666833
Enrollment ID: I20110414000160
Provider NameKatherine Laird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154690980
PECOS PAC ID: 2163684580
Enrollment ID: I20120501000796
Provider NameJami Davis-jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629243886
PECOS PAC ID: 7810050804
Enrollment ID: I20120521000125
Provider NameGhazala Farah Rahman
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1285690669
PECOS PAC ID: 0547417644
Enrollment ID: I20120824000254
Provider NameThomas H Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306070636
PECOS PAC ID: 6103082227
Enrollment ID: I20140130000530
Provider NameKimberly S Schramke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790113793
PECOS PAC ID: 2264665678
Enrollment ID: I20140508001082
Provider NameThejeswi Pujar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407008055
PECOS PAC ID: 1254457732
Enrollment ID: I20140528000001
Provider NameRobert J Mulloy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528299039
PECOS PAC ID: 2567509524
Enrollment ID: I20140609000625
Provider NameJeanne E Holdren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497860811
PECOS PAC ID: 7315161593
Enrollment ID: I20140609001296
Provider NameRichard U Baldwin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174561963
PECOS PAC ID: 3577465723
Enrollment ID: I20140623002010
Provider NameOthniel S Doolittle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386965499
PECOS PAC ID: 1456576552
Enrollment ID: I20140703001136
Provider NameKayla L Kimmel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063810463
PECOS PAC ID: 5193045326
Enrollment ID: I20150528002750
Provider NameNaga Sirikonda
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1396919544
PECOS PAC ID: 4082927413
Enrollment ID: I20150714002752
Provider NameMuhammad Ali Khan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144412859
PECOS PAC ID: 0446480354
Enrollment ID: I20150716003268
Provider NameHemangkumar Javaiya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952604464
PECOS PAC ID: 2668607805
Enrollment ID: I20150728003053
Provider NameAnand K Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326302910
PECOS PAC ID: 6103130810
Enrollment ID: I20150807014480
Provider NameMarie Jane Gorski
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841374873
PECOS PAC ID: 8729068788
Enrollment ID: I20160104002191
Provider NameCelena M Lowes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841650736
PECOS PAC ID: 3678870003
Enrollment ID: I20160329002423
Provider NameTashia I Fox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467808584
PECOS PAC ID: 7315239662
Enrollment ID: I20160707001592
Provider NameFahad S Naseerullah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912330200
PECOS PAC ID: 0749591816
Enrollment ID: I20160817003431
Provider NameHitanshu Chawla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942645692
PECOS PAC ID: 6901108323
Enrollment ID: I20161024000470
Provider NameChristopher P Rhyne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093129835
PECOS PAC ID: 4789903634
Enrollment ID: I20170303001818
Provider NameWalid Yousef Halees
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1306387774
PECOS PAC ID: 0547545972
Enrollment ID: I20170327000366
Provider NameAbdulmonam A Ali
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1396026506
PECOS PAC ID: 4082918263
Enrollment ID: I20170613000176
Provider NameKristina Berg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295280790
PECOS PAC ID: 6002188984
Enrollment ID: I20170828002950
Provider NameSamantha Christopher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457745358
PECOS PAC ID: 2860766953
Enrollment ID: I20170928002004
Provider NameMichael P Delacruz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629232087
PECOS PAC ID: 0042480758
Enrollment ID: I20171010001181
Provider NameDarla J Allan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215184635
PECOS PAC ID: 7911068747
Enrollment ID: I20180524001286
Provider NameShahabuddin Mohammad
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1982983599
PECOS PAC ID: 1052617842
Enrollment ID: I20180612000970
Provider NameVadzim Chyzhyk
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1093128720
PECOS PAC ID: 6002129962
Enrollment ID: I20180628000422
Provider NameDan D Le
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912214347
PECOS PAC ID: 3274790746
Enrollment ID: I20180802001173
Provider NameChelsea N Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457833592
PECOS PAC ID: 4789936527
Enrollment ID: I20181005002487
Provider NameLeslie King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427513415
PECOS PAC ID: 9335481910
Enrollment ID: I20190501000570
Provider NameKathy S Devous
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538722202
PECOS PAC ID: 3173865680
Enrollment ID: I20190503000063
Provider NameEra L Mattingly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033670062
PECOS PAC ID: 1951635150
Enrollment ID: I20190621001188
Provider NameLeann Nitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952701666
PECOS PAC ID: 2769709658
Enrollment ID: I20190816001914
Provider NameDawn Marie Stowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306490438
PECOS PAC ID: 0446581656
Enrollment ID: I20191018000751
Provider NameEdward Burtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528602034
PECOS PAC ID: 2466884150
Enrollment ID: I20191119000666
Provider NameBrooke A Hudson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912549965
PECOS PAC ID: 8820421928
Enrollment ID: I20191203002845
Provider NameHope E Hargraves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265065007
PECOS PAC ID: 6901235944
Enrollment ID: I20200326002467
Provider NameBridget J Burwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588283360
PECOS PAC ID: 8224469069
Enrollment ID: I20200512002336
Provider NameKrishna Chaitanya Cherukuri
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1487096962
PECOS PAC ID: 3173811718
Enrollment ID: I20200921002874
Provider NameDavid Boyd Cox
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831351303
PECOS PAC ID: 3274705207
Enrollment ID: I20201031000056
Provider NameMary E Connell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396194403
PECOS PAC ID: 7517259112
Enrollment ID: I20210211001451
Provider NameBrandon Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245840636
PECOS PAC ID: 8022427921
Enrollment ID: I20210505001722
Provider NameJoseph Gregory Huber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477148443
PECOS PAC ID: 0648670968
Enrollment ID: I20210608002349
Provider NameArslan Mirza
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1073928776
PECOS PAC ID: 7113216169
Enrollment ID: I20210609001244
Provider NameJennings Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285148882
PECOS PAC ID: 0749542926
Enrollment ID: I20210629000523
Provider NameKaren Sein Ohn
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518119536
PECOS PAC ID: 6901864370
Enrollment ID: I20210830002019
Provider NameJeffrey Sears
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1568406247
PECOS PAC ID: 2466341250
Enrollment ID: I20220311001893
Provider NameMalori Newbury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760120562
PECOS PAC ID: 6002297165
Enrollment ID: I20220720002300
Provider NameRizwan Ahmad Khan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1902288855
PECOS PAC ID: 6800149949
Enrollment ID: I20220726002626
Provider NameGlenn C Lafleur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124084520
PECOS PAC ID: 7618889700
Enrollment ID: I20230424002393
Provider NameJoshua C Loyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598445405
PECOS PAC ID: 5597129049
Enrollment ID: I20230915003113
Provider NameJeffrey Sears
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1568406247
PECOS PAC ID: 2466341250
Enrollment ID: I20240212000798
Provider NameJennifer Little
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134679509
PECOS PAC ID: 5799054391
Enrollment ID: I20240304002460

Reviews and Comments


Internal Medicine in Benton, IL

Family Healthcare Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 201 Bailey Lane, Benton, IL 62812
Phone: 618-439-3161    Fax: 618-439-4049
Crossroads Family Medicine Of Benton #2
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 203 Bailey Ln, Benton, IL 62812
Phone: 618-438-3621    Fax: 618-438-3622
Franklin Rural Health Clinic I
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 205 Bailey Ln, Benton, IL 62812
Phone: 618-439-3706    Fax: 618-435-2023
Christopher Greater Area Rural Health Planning Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 206 E Church St, Benton, IL 62812
Phone: 618-435-9888    Fax: 618-435-9889
Christopher Greater Area Rural Health Planning Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 107 E Smith St Ste B, Benton, IL 62812
Phone: 618-435-9315    Fax: 618-435-9316
Rea Clinic Benton
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812
Phone: 618-438-3113    Fax: 618-438-3306

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.