| Macoupin Physician Services, Pc | |
|
20733 N Broad St Carlinville IL 62626-3710 | |
| (217) 854-3141 | |
| Not Available |
| Full Name | Macoupin Physician Services, Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 20733 N Broad St, Carlinville, Illinois |
| Authorized Official Name and Position | Christopher P Lipsmeyer (DIRECTOR/OFFICIER) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macoupin Physician Services, Pc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Macoupin Physician Services, Pc 20733 N Broad St Carlinville IL 62626-3710 Ph: (217) 854-3141 |
| NPI Number | 1013686302 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 7416345947 |
|---|---|
| Medicare Enrollment ID | O20211102001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013686302 | NPI | - | NPPES |
| Provider Name | Kristen L Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750308227 PECOS PAC ID: 6608843263 Enrollment ID: I20040927000763 |
| Provider Name | Khaja G Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730162108 PECOS PAC ID: 1951362300 Enrollment ID: I20041020000317 |
| Provider Name | Anne E Borwick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326032046 PECOS PAC ID: 2769445469 Enrollment ID: I20041104000252 |
| Provider Name | Aftab A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720073729 PECOS PAC ID: 3274511894 Enrollment ID: I20050510000243 |
| Provider Name | Deborah M Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053345488 PECOS PAC ID: 8022012467 Enrollment ID: I20060828000093 |
| Provider Name | Shetal M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013938513 PECOS PAC ID: 6709963622 Enrollment ID: I20080402000709 |
| Provider Name | Douglas Anthony Kruse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194830661 PECOS PAC ID: 5294929444 Enrollment ID: I20101101001357 |
| Provider Name | Sandhya R Grandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093975419 PECOS PAC ID: 4789879768 Enrollment ID: I20101116000894 |
| Provider Name | Jacob Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891957981 PECOS PAC ID: 8628240975 Enrollment ID: I20111007000595 |
| Provider Name | Ashish Moonat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063670362 PECOS PAC ID: 6901051168 Enrollment ID: I20130220000096 |
| Provider Name | Amardeep Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730490525 PECOS PAC ID: 2668611575 Enrollment ID: I20130625000208 |
| Provider Name | Olayinka Akinola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043593049 PECOS PAC ID: 6103145529 Enrollment ID: I20150507000581 |
| Provider Name | Tal Pollak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831158 PECOS PAC ID: 9234370982 Enrollment ID: I20171102003619 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20190220003143 |
| Provider Name | Kunal H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265883441 PECOS PAC ID: 4385902881 Enrollment ID: I20190717003984 |
| Provider Name | Fareeha Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376065730 PECOS PAC ID: 5294150884 Enrollment ID: I20200729003159 |
| Provider Name | Quazi A Mostufa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083137897 PECOS PAC ID: 7719231034 Enrollment ID: I20200915002742 |
| Provider Name | Musa Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992291215 PECOS PAC ID: 0547505786 Enrollment ID: I20210802001595 |
| Provider Name | Nathalie Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700134293 PECOS PAC ID: 2264663186 Enrollment ID: I20210913000035 |
| Provider Name | Anna J Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831338219 PECOS PAC ID: 3779751003 Enrollment ID: I20220518002308 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20220913001243 |
| Provider Name | Akachi Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20220914001794 |
| Provider Name | Llaura Beach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558654095 PECOS PAC ID: 8022230630 Enrollment ID: I20220914003525 |
| Provider Name | Keely Elizabeth Fischbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407155666 PECOS PAC ID: 9436375409 Enrollment ID: I20221216002670 |
| Provider Name | Ruba F. Barakat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104894880 PECOS PAC ID: 3577573039 Enrollment ID: I20230612001786 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20231213001617 |
Lydia S Q Villafuerte Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-6262 Fax: 217-854-6264 | |
Macoupin County Public Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-3223 Fax: 217-854-3225 | |
Carlinville Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20613 N Broad St, Carlinville, IL 62626 Phone: 217-854-5099 | |
Carlinville Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 N Broad St, Carlinville, IL 62626 Phone: 217-854-9411 Fax: 217-854-2858 | |
Carlinville Family Practice Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 121-785-4431 | |
Carlinville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15574 Route 108, Carlinville, IL 62626 Phone: 217-854-4319 Fax: 217-854-2765 |