Pembroke Community Health Center - Medicare Primary Care in Hopkins Park, IL

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Pembroke Community Health Center is a medicare enrolled primary clinic (Family Medicine) in Hopkins Park, Illinois. The current practice location for Pembroke Community Health Center is 3400 S Main St., Hopkins Park, Illinois. For appointments, you can reach them via phone at (815) 944-5545. The mailing address for Pembroke Community Health Center is Po Box 781, Kankakee, Illinois and phone number is (815) 935-7256.

Pembroke Community Health Center is licensed to practice in Illinois (license number 007). The clinic also participates in the medicare program and its NPI number is 1982703005. 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 (815) 944-5545.

Contact Information

Pembroke Community Health Center
3400 S Main St.
Hopkins Park
IL 60944-9998
(815) 944-5545
(815) 944-6723

Map and Direction


Primary Care Clinic Profile

Full NamePembroke Community Health Center
SpecialityFamily Medicine
Location3400 S Main St., Hopkins Park, Illinois
Authorized Official Name and PositionPatricia K Vilt (CFO)
Authorized Official Contact8159331671
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pembroke Community Health Center
Po Box 781
Kankakee
IL 60901-0781

Ph: (815) 935-7256		Pembroke Community Health Center
3400 S Main St.
Hopkins Park
IL 60944-9998

Ph: (815) 944-5545

NPI Details:

NPI Number1982703005
Provider Enumeration Date09/22/2006
Last Update Date03/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5991608549
Medicare Enrollment IDO20040130000202

Medical Identifiers

Medical identifiers for Pembroke Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982703005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 007 (Illinois)Primary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pembroke Community Health Center acts as a billing entity for following providers:
Provider NameKelly L Cuffe
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1801095963
PECOS PAC ID: 3779572318
Enrollment ID: I20040510000645
Provider NameStonewall Mccuiston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720072143
PECOS PAC ID: 9638150014
Enrollment ID: I20040609001388
Provider NameJessica R Boudreau
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023780673
PECOS PAC ID: 3971992710
Enrollment ID: I20211116001876
Provider NameKathleen Louise Kallend
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1659883916
PECOS PAC ID: 4284017351
Enrollment ID: I20220823001213

Reviews and Comments


Family Medicine in Hopkins Park, IL


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.