| Rural Family Medicine Associates, Ltd | |
|
739 N Jefferson St Suite 200 Mascoutah IL 62258-1447 | |
| (618) 566-8810 | |
| (618) 566-7121 |
| Full Name | Rural Family Medicine Associates, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 739 N Jefferson St, Mascoutah, Illinois |
| Authorized Official Name and Position | Stephen L Raben (PRESIDENT) |
| Authorized Official Contact | 6185668810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Family Medicine Associates, Ltd 739 N Jefferson St Suite 200 Mascoutah IL 62258-1447 Ph: (618) 566-8810 | Rural Family Medicine Associates, Ltd 739 N Jefferson St Suite 200 Mascoutah IL 62258-1447 Ph: (618) 566-8810 |
| NPI Number | 1366639759 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 2264489038 |
|---|---|
| Medicare Enrollment ID | O20050404000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366639759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042007909 (Illinois) | Primary |
| Provider Name | Angela Dawn Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265548986 PECOS PAC ID: 5496775678 Enrollment ID: I20051202000177 |
| Provider Name | Paul J Reger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003922709 PECOS PAC ID: 6406803279 Enrollment ID: I20060109000155 |
| Provider Name | Dianne V Seabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619076239 PECOS PAC ID: 7719068345 Enrollment ID: I20080121000266 |
| Provider Name | Brett M Winkeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548362841 PECOS PAC ID: 7315956554 Enrollment ID: I20080906000078 |
| Provider Name | James C Althoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306952098 PECOS PAC ID: 9234186008 Enrollment ID: I20100719000400 |
| Provider Name | Steven D Pritchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225084197 PECOS PAC ID: 0446382659 Enrollment ID: I20100722000676 |
| Provider Name | Todd E Vonderheide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083720775 PECOS PAC ID: 0749313153 Enrollment ID: I20100805000912 |
| Provider Name | Judith K Weis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252226 PECOS PAC ID: 4789631557 Enrollment ID: I20100813000482 |
| Provider Name | Kayla M Moll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780035329 PECOS PAC ID: 8022302579 Enrollment ID: I20160808000345 |
| Provider Name | Angela K Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619537867 PECOS PAC ID: 8325472384 Enrollment ID: I20191227001054 |
| Provider Name | Jacob G Lanter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417419714 PECOS PAC ID: 6103150354 Enrollment ID: I20220914002991 |
Mind Body Spirit Care Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9640 Mallard Dr, Mascoutah, IL 62258 Phone: 618-960-8796 | |
Back & Neck Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E Main St, Mascoutah, IL 62258 Phone: 618-566-3005 Fax: 618-551-2777 |