Mr Orie R Potter, PAC MPAS - Medicare Physician Assistant in Macomb, IL

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Mr Orie R Potter, PAC MPAS is a medicare enrolled "Physician Assistant" in Macomb, Illinois. His current practice location is 1400 E Carroll, Macomb, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 833-2500.

Mr Orie R Potter is licensed to practice in Illinois (license number 085000614) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477514958.

Contact Information

Mr Orie R Potter, PAC MPAS
1400 E Carroll,
Macomb, IL 61455
(309) 833-2500
(309) 833-1760

Map and Direction




Provider's Profile

Full NameMr Orie R Potter
GenderMale
SpecialityPhysician Assistant
Location1400 E Carroll, Macomb, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477514958
  • Provider Enumeration Date: 04/01/2006
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547251951
  • Enrollment ID: I20040524000120

Medical Identifiers

Medical identifiers for Mr Orie R Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477514958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001876 (Iowa)Secondary
363A00000XPhysician Assistant 085000614 (Illinois)Primary

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. Mr Orie R Potter allows following entities to bill medicare on his behalf.
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameTrinity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568414134
PECOS PAC ID: 2264337518
Enrollment ID: O20031203000016
Entity NameGenesis Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427132604
PECOS PAC ID: 6103829338
Enrollment ID: O20060824000219
Entity NameMcdonough County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609180082
PECOS PAC ID: 0446140180
Enrollment ID: O20090407000082
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265966048
PECOS PAC ID: 1355259714
Enrollment ID: O20170828003194

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. Mr Orie R Potter 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
Mr Orie R Potter, PAC MPAS
Po Box 198,
Oquawka, IL 61469-0198

Ph: (309) 867-2202		Mr Orie R Potter, PAC MPAS
1400 E Carroll,
Macomb, IL 61455

Ph: (309) 833-2500

Reviews and Comments


Physician Assistant Nurses in Macomb, IL

Michelle M Bowen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Carroll St, Suite B, Macomb, IL 61455
Phone: 309-833-2500    Fax: 309-833-1760
Mrs. Kathryn Coker, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 525 E Grant St, Macomb, IL 61455
Phone: 309-836-1542    

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.