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

is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Canton, Illinois. The current practice location for is 126 N 5th Ave, Canton, Illinois. For appointments, you can reach them via phone at (309) 647-0201. The mailing address for is 126 N 5th Ave, Canton, Illinois and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124735402. 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 (309) 647-0201.

Contact Information


	126 N 5th Ave Canton IL 61520-1654
	(309) 647-0201
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	126 N 5th Ave, Canton, Illinois
Authorized Official Name and Position	Paige Fahnestock (CREDENTIALING SPECIALIST)
Authorized Official Contact	3096475240
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
126 N 5th Ave Canton IL 61520-1654 Ph: () -	126 N 5th Ave Canton IL 61520-1654 Ph: (309) 647-0201

NPI Details:

NPI Number	1124735402
Provider Enumeration Date	11/04/2022
Last Update Date	03/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	2769375021
Medicare Enrollment ID	O20230425001534

Medical Identifiers

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

Identifier	Type	State	Issuer
1124735402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Canton, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-5302
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 East Oak Street, Canton, IL 61520 Phone: 309-647-1134 Fax: 309-647-9545
Spoon River Family Practice Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 E Side Sq, Suite 102, Canton, IL 61520 Phone: 309-647-9980 Fax: 309-647-7792
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-0201

- Medicare Primary Care in Canton, IL