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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Jerseyville, Illinois. The current practice location for is 903 S State St, Jerseyville, Illinois. For appointments, you can reach them via phone at (618) 639-9255. The mailing address for is Po Box 405, Jerseyville, Illinois and phone number is (618) 498-8310.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700423696. 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) 639-9255.

Contact Information


	903 S State St Jerseyville IL 62052-2344
	(618) 639-9255
	(618) 639-8000

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	903 S State St, Jerseyville, Illinois
Authorized Official Name and Position	Beth King (CEO)
Authorized Official Contact	6184988350
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 405 Jerseyville IL 62052-0405 Ph: (618) 498-8310	903 S State St Jerseyville IL 62052-2344 Ph: (618) 639-9255

NPI Details:

NPI Number	1700423696
Provider Enumeration Date	12/10/2019
Last Update Date	08/03/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	4587650445
Medicare Enrollment ID	O20200430000029

Medical Identifiers

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

Identifier	Type	State	Issuer
1700423696	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Jerseyville, IL

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- Medicare Primary Care in Jerseyville, IL