- Medicare Primary Care in Sparta, IL

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Sparta, Illinois. The current practice location for is 818 E. Broadway Street, Sparta, Illinois. For appointments, you can reach them via phone at (618) 443-1337. The mailing address for is Po Box 297, Sparta, Illinois and phone number is (618) 443-1337.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114984226. 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) 443-1337.

Contact Information

818 E. Broadway Street
Sparta
IL 62286-0297
(618) 443-1337
(618) 443-1383

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location818 E. Broadway Street, Sparta, Illinois
Authorized Official Name and PositionLisa Ernsting (CFO)
Authorized Official Contact6184332177
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 297
Sparta
IL 62286-0297

Ph: (618) 443-1337
818 E. Broadway Street
Sparta
IL 62286-0297

Ph: (618) 443-1337

NPI Details:

NPI Number1114984226
Provider Enumeration Date05/01/2006
Last Update Date05/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6709870462
Medicare Enrollment IDO20040414000594

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114984226NPI-NPPES
CH0349OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSteven A Roodman
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720064439
PECOS PAC ID: 7012820897
Enrollment ID: I20040216000980
Provider NameMichael Jeffrey Barkoviak
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1609867142
PECOS PAC ID: 4486620325
Enrollment ID: I20040902000666
Provider NameMeher S Mallick
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1093789034
PECOS PAC ID: 7911950852
Enrollment ID: I20050303000513
Provider NameKostantinos E Psihramis
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1902889793
PECOS PAC ID: 2961313390
Enrollment ID: I20060202000185
Provider NameElvira Salarda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114984283
PECOS PAC ID: 7719994854
Enrollment ID: I20060314000406
Provider NameMark D Preuss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952368110
PECOS PAC ID: 3971510017
Enrollment ID: I20060314000419
Provider NameShawn D Beckemeyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023075264
PECOS PAC ID: 7810904976
Enrollment ID: I20060314000597
Provider NameRussell E Coulter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548227606
PECOS PAC ID: 3870515661
Enrollment ID: I20060314000618
Provider NameFranklin James
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659338713
PECOS PAC ID: 5193732261
Enrollment ID: I20060314000671
Provider NameDavid Chung
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417914557
PECOS PAC ID: 5092722165
Enrollment ID: I20060314000682
Provider NameChristopher C Moore
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1013941392
PECOS PAC ID: 7810968476
Enrollment ID: I20061219000490
Provider NameLinda Passini
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427167238
PECOS PAC ID: 7810906377
Enrollment ID: I20070329000563
Provider NameDeanne C Rieckenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003881244
PECOS PAC ID: 5092811232
Enrollment ID: I20070503000525
Provider NameGiuseppe C Aliperti
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1144264698
PECOS PAC ID: 7416957022
Enrollment ID: I20080402000452
Provider NameJustin D Craft
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134368707
PECOS PAC ID: 0941358717
Enrollment ID: I20090505000272
Provider NameElizabeth Kraus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831495845
PECOS PAC ID: 2769666833
Enrollment ID: I20110414000160
Provider NameAbby M Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275822587
PECOS PAC ID: 3779751722
Enrollment ID: I20110719000581
Provider NameDenise J Krone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902163942
PECOS PAC ID: 9133382377
Enrollment ID: I20120525000114
Provider NameMichael J Moldenhauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275837551
PECOS PAC ID: 3870773732
Enrollment ID: I20120927000622
Provider NameJeffry L Peterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164569729
PECOS PAC ID: 8729164397
Enrollment ID: I20120927000800
Provider NameTong Zhu
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1184853152
PECOS PAC ID: 8022243740
Enrollment ID: I20131104001470
Provider NameDerek E Pechacek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114356607
PECOS PAC ID: 9234366980
Enrollment ID: I20131230000978
Provider NameHolly A Wilke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386064996
PECOS PAC ID: 3173845302
Enrollment ID: I20141125001472
Provider NameChristopher D Bourget
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275900656
PECOS PAC ID: 1355647934
Enrollment ID: I20160308000978
Provider NameJoseph Specker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255706818
PECOS PAC ID: 3870892961
Enrollment ID: I20160425000002
Provider NameLogan Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972962561
PECOS PAC ID: 5890088611
Enrollment ID: I20160801000872
Provider NameSandra S Hoffmann
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1477565893
PECOS PAC ID: 4981772233
Enrollment ID: I20160802003198
Provider NameDestiny A Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265976039
PECOS PAC ID: 7911289251
Enrollment ID: I20170123001593
Provider NameAshley N Hundelt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740720143
PECOS PAC ID: 1951686294
Enrollment ID: I20170328002374
Provider NameRobert Bell
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1851371082
PECOS PAC ID: 8820124803
Enrollment ID: I20170405001369
Provider NameNickie R Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609316710
PECOS PAC ID: 4082990320
Enrollment ID: I20170420002200
Provider NameZiya Baghmanli
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699068767
PECOS PAC ID: 4688978240
Enrollment ID: I20170627001916
Provider NameAmy H Eppstein
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1962761122
PECOS PAC ID: 1355635996
Enrollment ID: I20170724003237
Provider NameJordan Priebe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477088292
PECOS PAC ID: 1456621192
Enrollment ID: I20170727003631
Provider NameCarrie Lutman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073030789
PECOS PAC ID: 2769749407
Enrollment ID: I20171205001111
Provider NameVictoria Koch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336656537
PECOS PAC ID: 5496010704
Enrollment ID: I20180606003520
Provider NameJennifer Ann Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922576859
PECOS PAC ID: 1456697903
Enrollment ID: I20190104000811
Provider NameJennifer Adele Demsar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396218202
PECOS PAC ID: 8729326160
Enrollment ID: I20190211002390
Provider NameMargret De Guzman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1477852028
PECOS PAC ID: 6103047543
Enrollment ID: I20190510000846
Provider NameRonnie Bower
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033292024
PECOS PAC ID: 2062514474
Enrollment ID: I20190603001055
Provider NameVincent C Compton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437719093
PECOS PAC ID: 9739417411
Enrollment ID: I20190819002983
Provider NameShannon Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942712310
PECOS PAC ID: 7113356932
Enrollment ID: I20200330003677
Provider NameMelanie Janette Wahl
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1609072933
PECOS PAC ID: 4385790765
Enrollment ID: I20200604000355
Provider NameVanessa Larraine Williams
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1306297130
PECOS PAC ID: 1658663513
Enrollment ID: I20210514000033
Provider NameTiffany Marie Hostert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467128363
PECOS PAC ID: 7618374513
Enrollment ID: I20210920002364
Provider NameMaxwell Martin Hayden
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1093211955
PECOS PAC ID: 8527465756
Enrollment ID: I20210930000827
Provider NameInessa Chernysh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437651064
PECOS PAC ID: 0345638011
Enrollment ID: I20211029000087
Provider NameDavid Shiyu Zhu
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1821440751
PECOS PAC ID: 9436441458
Enrollment ID: I20220921003340
Provider NameKelli Jan May
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528793148
PECOS PAC ID: 9436535572
Enrollment ID: I20220927003666
Provider NameMatthew Schilling
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285206912
PECOS PAC ID: 3577967215
Enrollment ID: I20230117000197
Provider NameHelaine Blomenkamp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336735273
PECOS PAC ID: 3072987056
Enrollment ID: I20230314001050
Provider NameFebijesusola Oyelana
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679144315
PECOS PAC ID: 3779987151
Enrollment ID: I20240416002850

Reviews and Comments


Clinic/Center in Sparta, IL


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 818 E Broadway St, Sparta, IL 62286
Phone: 618-443-2177    Fax: 618-443-1358

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 205 S Burns Ave, Sparta, IL 62286
Phone: 618-443-2858    Fax: 618-939-4256

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286
Phone: 618-443-3750    

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 215 S Burns Ave, Sparta, IL 62286
Phone: 618-443-4889    Fax: 618-443-1345

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1300 N Market St, Sparta, IL 62286
Phone: 618-443-4138    Fax: 618-443-2956

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 207 S Burns Ave, Sparta, IL 62286
Phone: 618-443-3084    Fax: 618-443-1347

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.