Starved Rock Family Psychiatry, Llc is a medicare enrolled primary clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Utica, Illinois. The current practice location for Starved Rock Family Psychiatry, Llc is 325 Clark St Ste C, Utica, Illinois. For appointments, you can reach them via phone at
(815) 275-3035. The mailing address for Starved Rock Family Psychiatry, Llc is 1 Bridget Ter, Utica, Illinois and phone number is (815) 275-3035.
Starved Rock Family Psychiatry, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1861244063. 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
(815) 275-3035.
Primary Care Clinic Profile
| Full Name | Starved Rock Family Psychiatry, Llc |
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| Speciality | Clinic/Center |
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| Location | 325 Clark St Ste C, Utica, Illinois |
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| Authorized Official Name and Position | Amanda Amiti (OWNER) |
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| Authorized Official Contact | 8152753035 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Starved Rock Family Psychiatry, Llc
1 Bridget Ter
Utica
IL 61373-9552
Ph: (815) 275-3035 | Starved Rock Family Psychiatry, Llc
325 Clark St Ste C
Utica
IL 61373-9484
Ph: (815) 275-3035 |
NPI Details:
| NPI Number | 1861244063 |
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| Provider Enumeration Date | 04/02/2024 |
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| Last Update Date | 06/17/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7315484920 |
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| Medicare Enrollment ID | O20240731004326 |
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Medical Identifiers
Medical identifiers for Starved Rock Family Psychiatry, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861244063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (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.
Starved Rock Family Psychiatry, Llc acts as a billing entity for following providers:
| Provider Name | Amanda Kay Amiti |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1578030151
PECOS PAC ID: 7113267113
Enrollment ID: I20190328001107 |
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