Melinda K Barthelme, NP-C - Medicare Nurse Practitioner in Newton, IL

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Melinda K Barthelme, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Newton, Illinois. She graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Springfield Clinic, Llp, Marshall Clinic Effingham S C and her current practice location is 601 W Washington St Ste 3, Newton, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Melinda K Barthelme is licensed to practice in Illinois (license number 277000137) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639104672.

Contact Information

Melinda K Barthelme, NP-C
601 W Washington St Ste 3,
Newton, IL 62448-1271
(217) 528-7541
Not Available

Map and Direction




Provider's Profile

Full NameMelinda K Barthelme
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location601 W Washington St Ste 3, Newton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melinda K Barthelme graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1639104672
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123112646
  • Enrollment ID: I20070914000328

Medical Identifiers

Medical identifiers for Melinda K Barthelme such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639104672NPI-NPPES
P00465576OtherILRAILROAD MEDICARE/PALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209000544 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277000137 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys Memorial HospitalEffingham, ILHospital
Clay County HospitalFlora, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic, Llp0547166076655
Marshall Clinic Effingham S C105237251314

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. Melinda K Barthelme allows following entities to bill medicare on her behalf.
Entity NameSt Anthonys Memorial Hospital Of The Hospital Sisters Of The Third
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameSpringfield Clinic, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameVituity - Illinois Auc Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306334198
PECOS PAC ID: 0547516932
Enrollment ID: O20180627000637

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. Melinda K Barthelme 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
Melinda K Barthelme, NP-C
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541		Melinda K Barthelme, NP-C
601 W Washington St Ste 3,
Newton, IL 62448-1271

Ph: (217) 528-7541

Reviews and Comments


Nurse Practitioner Nurses in Newton, IL

Mrs. Melissa N Kuenstler, APN, WHNP
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Medicare: Accepting Medicare Assignments
Practice Location: 500 S Scott Ave, Newton, IL 62448
Phone: 618-783-2144    
Courtney Miller, NP
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Practice Location: 807 W Jourdan St, Newton, IL 62448
Phone: 618-783-3800    Fax: 618-783-5070
Mrs. Janet Elaine Stierwalt, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 500 S Scott Ave, Newton, IL 62448
Phone: 618-783-2144    
Patricia Michelle Fulton, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 807 W Jourdan St, Newton, IL 62448
Phone: 618-783-3800    Fax: 618-783-5070
Lenora Drees, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 601 W Washington St Ste 1, Newton, IL 62448
Phone: 618-783-0954    Fax: 618-783-0958
Bridgett Simmons, APN
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Medicare: Not Enrolled in Medicare
Practice Location: 10150 E North Lake Dr, Newton, IL 62448
Phone: 217-343-0948    

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.