Deaconess Illinois Clinic, Inc is a
Family Medicine based in Mount Vernon, Illinois. Deaconess Illinois Clinic, Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
4117 S Water Tower Pl, Mount Vernon, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 242-0672.
NPI number for Deaconess Illinois Clinic, Inc is 1093432627 and their current mailing address is Po Box 34156, Belfast, Maine. Deaconess Illinois Clinic, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093432627.
Healthcare Provider's Profile
| Full Name | Deaconess Illinois Clinic, Inc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 4117 S Water Tower Pl, Mount Vernon, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093432627
- Provider Enumeration Date: 10/25/2022
- Last Update Date: 12/02/2022
Medical Identifiers
Medical identifiers for Deaconess Illinois Clinic, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093432627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deaconess Illinois Clinic, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deaconess Illinois Clinic, Inc
Po Box 34156,
Belfast, ME 04915-0619
Ph: (812) 450-6815 | Deaconess Illinois Clinic, Inc
4117 S Water Tower Pl,
Mount Vernon, IL 62864-6567
Ph: (618) 242-0672 |
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