- Medicare Primary Care in Dieterich, IL

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Dieterich, Illinois. The current practice location for is 207 S Main St, Dieterich, Illinois. For appointments, you can reach them via phone at (217) 925-5730. The mailing address for is 3051 Hollis Dr Fl 2, Springfield, 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 1033841192. 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 (217) 925-5730.

Contact Information

207 S Main St
Dieterich
IL 62424-1128
(217) 925-5730
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location207 S Main St, Dieterich, Illinois
Authorized Official Name and PositionKevin Lewis (CHIEF CLINICAL OFFICER)
Authorized Official Contact2175234747
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3051 Hollis Dr Fl 2
Springfield
IL 62704-7450

Ph: () -
207 S Main St
Dieterich
IL 62424-1128

Ph: (217) 925-5730

NPI Details:

NPI Number1033841192
Provider Enumeration Date06/28/2022
Last Update Date06/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092857821
Medicare Enrollment IDO20220812001021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033841192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Dieterich, IL


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 203 S. Main St., Dieterich, IL 62424
Phone: 217-925-5730    Fax: 217-925-5736

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.