- Medicare Primary Care in East St Louis, IL

  1. Home
  2. Primary Care Clinics
  3. IL
  4. East St Louis
is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in East St Louis, Illinois. The current practice location for is 100 N 8th St, East St Louis, Illinois. For appointments, you can reach them via phone at (618) 274-9105. The mailing address for is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831125038. 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) 274-9105.

Contact Information

100 N 8th St
East St Louis
IL 62201-2989
(618) 274-9105
(618) 274-9101

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location100 N 8th St, East St Louis, Illinois
Authorized Official Name and PositionLarry Mcculley (PRESIDENT)
Authorized Official Contact6183320783
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

8080 State St
East Saint Louis
IL 62203-1808

Ph: (618) 397-3303
100 N 8th St
East St Louis
IL 62201-2989

Ph: (618) 274-9105

NPI Details:

NPI Number1831125038
Provider Enumeration Date06/23/2006
Last Update Date07/29/2009

Medicare PECOS Information:

Medicare PECOS PAC ID1456256874
Medicare Enrollment IDO20081030000255

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831125038NPI-NPPES
732740OtherILWPS MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363LW0102XNurse Practitioner - Women's Health (* (Not Available))Secondary

Reviews and Comments


Clinic/Center in East St Louis, IL


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.