- Medicare Primary Care in Sauget, IL

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sauget, Illinois. The current practice location for is 2071 Goose Lake Rd, Sauget, Illinois. For appointments, you can reach them via phone at (618) 337-9461. The mailing address for is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 332-0953.

is licensed to practice in Illinois (license number ). The clinic also participates in the medicare program and its NPI number is 1083162432. 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) 337-9461.

Contact Information

2071 Goose Lake Rd
Sauget
IL 62206-2822
(618) 337-9461
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location2071 Goose Lake Rd, Sauget, Illinois
Authorized Official Name and PositionLarry Mcculley (PRESIDENT/CEO)
Authorized Official Contact6183320694
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2041 Goose Lake Rd
Sauget
IL 62206-2822

Ph: (618) 332-0953
2071 Goose Lake Rd
Sauget
IL 62206-2822

Ph: (618) 337-9461

NPI Details:

NPI Number1083162432
Provider Enumeration Date09/14/2016
Last Update Date03/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1456256874
Medicare Enrollment IDO20170913000810

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083162432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Illinois)Secondary
207R00000XInternal Medicine (Illinois)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (Illinois)Secondary
207RN0300XInternal Medicine - Nephrology (Illinois)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Illinois)Primary

Reviews and Comments


Clinic/Center in Sauget, IL


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2041 Goose Lake Rd, Sauget, IL 62206
Phone: 618-332-0953    Fax: 618-332-2487

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2071 Goose Lake Rd, Sauget, IL 62206
Phone: 618-332-5369    Fax: 618-337-9482

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.