Weber Medical Clinic is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Olney, Illinois. The current practice location for Weber Medical Clinic is 1200 N East St, Olney, Illinois. For appointments, you can reach them via phone at
(618) 395-2223. The mailing address for Weber Medical Clinic is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 332-0953.
Weber Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1679844468. 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) 395-2223.
Dental Care Clinic Profile
| Full Name | Weber Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 1200 N East St, Olney, Illinois |
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| Authorized Official Name and Position | Larry Mcculley (CEO) |
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| Authorized Official Contact | 6183320694 |
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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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Weber Medical Clinic
2041 Goose Lake Rd
Sauget
IL 62206-2822
Ph: (618) 332-0953 | Weber Medical Clinic
1200 N East St
Olney
IL 62450-2432
Ph: (618) 395-2223 |
NPI Details:
| NPI Number | 1679844468 |
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| Provider Enumeration Date | 01/25/2012 |
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| Last Update Date | 02/09/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1456256874 |
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| Medicare Enrollment ID | O20120220000066 |
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Medical Identifiers
Medical identifiers for Weber Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679844468 | NPI | - | NPPES |
| 14-1156 | Other | IL | NGS MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | (Illinois) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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