Andrew Poulos, MD - Medicare Family Practice in Effingham, IL

Andrew Poulos, MD is a medicare enrolled "Family Medicine" physician in Effingham, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hshs Medical Group Inc, Hshs Medical Group Inc and his current practice location is 900 W Temple Ave Ste 1500, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 347-0458.

Andrew Poulos is licensed to practice in Illinois (license number 036161439) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760801120.

Contact Information

Andrew Poulos, MD
900 W Temple Ave Ste 1500,
Effingham, IL 62401-2121
(217) 347-0458
(217) 342-2992

Map and Direction




Physician's Profile

Full NameAndrew Poulos
GenderMale
SpecialityFamily Practice
Experience10 Years
Location900 W Temple Ave Ste 1500, Effingham, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Poulos graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1760801120
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214244037
  • Enrollment ID: I20170912000318

Medical Identifiers

Medical identifiers for Andrew Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760801120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301113522 (Michigan)Secondary
207Q00000XFamily Medicine 036161439 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys Memorial HospitalEffingham, ILHospital
St Marys HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hshs Medical Group Inc5092857821236
Hshs Medical Group Inc5092857821236

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew Poulos allows following entities to bill medicare on his behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376649509
PECOS PAC ID: 8820900749
Enrollment ID: O20061218000510

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. Andrew Poulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrew Poulos, MD
900 W Temple Ave Ste 1500,
Effingham, IL 62401-2121

Ph: (217) 347-0458
Andrew Poulos, MD
900 W Temple Ave Ste 1500,
Effingham, IL 62401-2121

Ph: (217) 347-0458

Reviews and Comments


Family Medicine Doctors in Effingham, IL

Katelyn Jule Klosterman,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1303 W Evergreen Ave Ste 202, Effingham, IL 62401
Phone: 217-238-4634    Fax: 217-342-3402
Dominic Charles Imburgia, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 N Maple St, Effingham, IL 62401
Phone: 217-347-2900    Fax: 217-347-2922
Fred Richardson Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 904 Medical Park Dr, Suite 3, Effingham, IL 62401
Phone: 217-540-2350    Fax: 217-347-2323
Jeffrey Brummer, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1106 N Merchant St, Effingham, IL 62401
Phone: 217-342-7000    
Hope E Knauer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Maple St, Effingham, IL 62401
Phone: 217-342-4151    Fax: 217-347-8955
Dr. Sean F. Flynn, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 N Maple St Ste E, Effingham, IL 62401
Phone: 217-347-7030    Fax: 217-347-7197
Dr. Shantha Matthew Monippallil, M.D
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1901 S 4th St, Same, Effingham, IL 62401
Phone: 217-347-7600    

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.