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

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Vandalia, Illinois. The current practice location for is 1510 Sunset Dr, Vandalia, Illinois. For appointments, you can reach them via phone at (618) 283-3144. The mailing address for is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 332-0953.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326288143. 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) 283-3144.

Contact Information


	1510 Sunset Dr Vandalia IL 62471-3228
	(618) 283-3144
	(618) 283-3194

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1510 Sunset Dr, Vandalia, Illinois
Authorized Official Name and Position	Larry Mcculley (CEO)
Authorized Official Contact	6183320694
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953	1510 Sunset Dr Vandalia IL 62471-3228 Ph: (618) 283-3144

NPI Details:

NPI Number	1326288143
Provider Enumeration Date	03/06/2009
Last Update Date	08/02/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	1456256874
Medicare Enrollment ID	O20090326000134

Medical Identifiers

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

Identifier	Type	State	Issuer
1326288143	NPI	-	NPPES
732740	Other	IL	WPS MEDICARE
141093	Other	IL	NGS MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Vandalia, IL

Brian W Dossett Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 N 8th St, Vandalia, IL 62471 Phone: 618-283-4469 Fax: 618-283-4794
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Veterans Ave, Vandalia, IL 62471 Phone: 618-690-3597 Fax: 618-690-3598
Kaskaskia Medical Center, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 N 8th St, Vandalia, IL 62471 Phone: 618-283-4445 Fax: 618-283-4446
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 W Jackson St, Vandalia, IL 62471 Phone: 618-283-3144 Fax: 618-283-3194
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1404 N 5th St, Vandalia, IL 62471 Phone: 618-283-2000 Fax: 618-283-2002
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1442 N 8th St, Suite C, Vandalia, IL 62471 Phone: 618-283-0266 Fax: 618-283-4081

- Medicare Primary Care in Vandalia, IL