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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Salem, Illinois. The current practice location for is 1201 Ricker Drive, Salem, Illinois. For appointments, you can reach them via phone at (618) 548-9502. The mailing address for is 1201 Ricker Drive, Salem, Illinois and phone number is (618) 548-3194.

is licensed to practice in Illinois (license number 0002089). The clinic also participates in the medicare program and its NPI number is 1265467195. 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) 548-9502.

Contact Information


	1201 Ricker Drive Salem IL 62881
	(618) 548-9502
	(844) 659-5616

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1201 Ricker Drive, Salem, Illinois
Authorized Official Name and Position	James Timpe (PRESIDENT/CEO)
Authorized Official Contact	6185483194
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1201 Ricker Drive Salem IL 62881 Ph: (618) 548-3194	1201 Ricker Drive Salem IL 62881 Ph: (618) 548-9502

NPI Details:

NPI Number	1265467195
Provider Enumeration Date	07/11/2006
Last Update Date	08/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0840195277
Medicare Enrollment ID	O20071227000397

Medical Identifiers

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

Identifier	Type	State	Issuer
1265467195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	0002089 (Illinois)	Primary

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 Name	Margaret Chelsea Ann Burris
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1093395022 PECOS PAC ID: 1850770215 Enrollment ID: I20220615002712

Provider Name	Angela D Betters
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1295442325 PECOS PAC ID: 8820451263 Enrollment ID: I20230831003369

Reviews and Comments

Clinic/Center in Salem, IL

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Ricker Rd, Salem, IL 62881 Phone: 618-241-8791 Fax: 618-244-1926
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Broadway Ave, Salem, IL 62881 Phone: 618-548-1700 Fax: 618-548-1706
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 W Whittaker St, Suite 3, Salem, IL 62881 Phone: 618-548-2400
Anton Dubrick Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Schwartz St, Salem, IL 62881 Phone: 618-740-4667 Fax: 618-740-1482
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 W Whittaker St, Suite 3, Salem, IL 62881 Phone: 618-548-4911 Fax: 618-548-8052
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 W Whittaker St, Salem, IL 62881 Phone: 618-532-3950 Fax: 618-532-9365

- Medicare Primary Care in Salem, IL