Hamilton Memorial Family Clinic - Medicare Primary Care in Mcleansboro, IL

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Hamilton Memorial Family Clinic is a medicare enrolled primary clinic (Clinic/center) in Mcleansboro, Illinois. The current practice location for Hamilton Memorial Family Clinic is 611 S Marshall Avenue, Mcleansboro, Illinois. For appointments, you can reach them via phone at (618) 643-2361. The mailing address for Hamilton Memorial Family Clinic is 611 S Marshall Ave, Po Box 429, Mc Leansboro, Illinois and phone number is (618) 643-2361.

Hamilton Memorial Family Clinic is licensed to practice in Illinois (license number 000085). The clinic also participates in the medicare program and its NPI number is 1609837665. 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) 643-2361.

Contact Information

Hamilton Memorial Family Clinic
611 S Marshall Avenue
Mcleansboro
IL 62859
(618) 643-2361
(618) 643-2875

Map and Direction


Primary Care Clinic Profile

Full NameHamilton Memorial Family Clinic
SpecialityClinic/Center
Location611 S Marshall Avenue, Mcleansboro, Illinois
Authorized Official Name and PositionJackie K Johnson (DIRECTOR)
Authorized Official Contact6186432361
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hamilton Memorial Family Clinic
611 S Marshall Ave
Po Box 429
Mc Leansboro
IL 62859-1213

Ph: (618) 643-2361		Hamilton Memorial Family Clinic
611 S Marshall Avenue
Mcleansboro
IL 62859

Ph: (618) 643-2361

NPI Details:

NPI Number1609837665
Provider Enumeration Date03/30/2006
Last Update Date06/29/2015

Medicare PECOS Information:

Medicare PECOS PAC ID6608865985
Medicare Enrollment IDO20040511001018

Medical Identifiers

Medical identifiers for Hamilton Memorial Family Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609837665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 000085 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hamilton Memorial Family Clinic acts as a billing entity for following providers:
Provider NameRodney L Miller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750382396
PECOS PAC ID: 2860393428
Enrollment ID: I20040116000250
Provider NamePak K Fung
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265487870
PECOS PAC ID: 9436174422
Enrollment ID: I20051010000102
Provider NameAlec B Hood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760442776
PECOS PAC ID: 5799814562
Enrollment ID: I20100604000021
Provider NameJohn A Flick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770782351
PECOS PAC ID: 9133314719
Enrollment ID: I20101109000442
Provider NameSabrina R Stout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437421047
PECOS PAC ID: 3870752702
Enrollment ID: I20120312000651
Provider NameLaura M Devous
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164878229
PECOS PAC ID: 1052690195
Enrollment ID: I20161114001566
Provider NameHeather Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841661287
PECOS PAC ID: 7911208004
Enrollment ID: I20170228000041
Provider NameDouglas William Sheffer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1184914699
PECOS PAC ID: 0840422960
Enrollment ID: I20180928000626
Provider NameShamlan Sheikh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487077194
PECOS PAC ID: 8325260185
Enrollment ID: I20181029002709
Provider NameJamie Lea Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871147819
PECOS PAC ID: 0941635049
Enrollment ID: I20200117002175
Provider NameMorgan Warren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184160855
PECOS PAC ID: 3274951397
Enrollment ID: I20200922000301
Provider NameNatasha D Bancroft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679153456
PECOS PAC ID: 0143622191
Enrollment ID: I20210713002351
Provider NameInessa Chernysh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437651064
PECOS PAC ID: 0345638011
Enrollment ID: I20211029000087
Provider NameBrian Sloan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376652255
PECOS PAC ID: 2668412297
Enrollment ID: I20221128001159
Provider NameKathryn H Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114511839
PECOS PAC ID: 8426422338
Enrollment ID: I20230316000201
Provider NameTeresa Kay Mcfarland-miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104860238
PECOS PAC ID: 7315389970
Enrollment ID: I20240528002825

Reviews and Comments


Clinic/Center in Mcleansboro, IL

Crossroads Family Medicine Of Mcleansboro
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 208 S Washington Street, Mcleansboro, IL 62859
Phone: 618-643-2835    Fax: 618-643-2891

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.