<unavail> in Jacksonville, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Jacksonville, Illinois. The current practice location for is 1000 W Morton Ave, Jacksonville, Illinois. For appointments, you can reach them via phone at (217) 243-6520. The mailing address for is Po Box 19248, Springfield, Illinois and phone number is (175) 287-5412.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073228664. 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 (217) 243-6520.

Contact Information


	1000 W Morton Ave Jacksonville IL 62650-3152
	(217) 243-6520
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1000 W Morton Ave, Jacksonville, Illinois
Authorized Official Name and Position	Cal Robert Thomas (CHIEF DEVELOPMENT OFFICER)
Authorized Official Contact	2175287541
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 19248 Springfield IL 62794-9248 Ph: (175) 287-5412	1000 W Morton Ave Jacksonville IL 62650-3152 Ph: (217) 243-6520

NPI Details:

NPI Number	1073228664
Provider Enumeration Date	01/18/2023
Last Update Date	10/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	0547166076
Medicare Enrollment ID	O20230126000689

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073228664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Jacksonville, IL

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Westgate Ave, Jacksonville, IL 62650 Phone: 217-243-8455
Central Illinois Snf Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 W Walnut St, Jacksonville, IL 62650 Phone: 630-336-5620
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113

- Medicare Primary Care in Jacksonville, IL