- Medicare Primary Care in Shawneetown, IL

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Shawneetown, Illinois. The current practice location for is 9525 Gold Hill Road, Shawneetown Health Care Clinic, Shawneetown, Illinois. For appointments, you can reach them via phone at (618) 269-3815. The mailing address for is Po Box 155, Christopher Greater Area Rural Health Planning Corp, Christopher, Illinois and phone number is (618) 724-2401.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285614867. 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) 269-3815.

Contact Information

9525 Gold Hill Road
Shawneetown Health Care Clinic
Shawneetown
IL 62984
(618) 269-3815
(618) 269-3274

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location9525 Gold Hill Road, Shawneetown, Illinois
Authorized Official Name and PositionKimberly Mitroka (CEO)
Authorized Official Contact6187242401
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 155
Christopher Greater Area Rural Health Planning Corp
Christopher
IL 62822

Ph: (618) 724-2401
9525 Gold Hill Road
Shawneetown Health Care Clinic
Shawneetown
IL 62984

Ph: (618) 269-3815

NPI Details:

NPI Number1285614867
Provider Enumeration Date01/19/2006
Last Update Date09/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8224947387
Medicare Enrollment IDO20030606000006

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285614867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (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. acts as a billing entity for following providers:
Provider NameVirginia Leigh Mabrey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306160932
PECOS PAC ID: 2769888759
Enrollment ID: I20210830002831

Reviews and Comments


Clinic/Center in Shawneetown, IL

Gallatin Rural Health Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 232 Lincoln Blvd, Shawneetown, IL 62984
Phone: 618-269-3139    Fax: 618-269-3057

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.