Mr Phillip R Erthall, PAC - Medicare Physician Assistant in Herrin, IL

  1. Home
  2. Physician Assistant
  3. IL
  4. Herrin
Mr Phillip R Erthall, PAC is a medicare enrolled "Physician Assistant" in Herrin, Illinois. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Acute Care Surgery Of South Dakota Pc and his current practice location is 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 997-6800.

Mr Phillip R Erthall is licensed to practice in Illinois (license number ) 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 1255446886.

Contact Information

Mr Phillip R Erthall, PAC
510 Lincoln Drive, Southern Orthopedic Associates Sc,
Herrin, IL 62948
(618) 997-6800
(618) 998-9124

Map and Direction




Provider's Profile

Full NameMr Phillip R Erthall
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location510 Lincoln Drive, Herrin, 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:
  • Mr Phillip R Erthall graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1255446886
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648284349
  • Enrollment ID: I20060202000127

Medical Identifiers

Medical identifiers for Mr Phillip R Erthall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255446886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of CarbondaleCarbondale, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acute Care Surgery Of South Dakota Pc569819503067

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 Phillip R Erthall allows following entities to bill medicare on his behalf.
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameSouthern Orthopedic Associates SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396792412
PECOS PAC ID: 8921095514
Enrollment ID: O20040427000442
Entity NameIntegritas Emergency Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameAcute Care Surgery of South Dakota PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730797184
PECOS PAC ID: 5698195030
Enrollment ID: O20201228000468

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 Phillip R Erthall 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 Phillip R Erthall, PAC
510 Lincoln Drive, Southern Orthopedic Associates Sc,
Herrin, IL 62948

Ph: (618) 997-6800		Mr Phillip R Erthall, PAC
510 Lincoln Drive, Southern Orthopedic Associates Sc,
Herrin, IL 62948

Ph: (618) 997-6800

Reviews and Comments


Physician Assistant Nurses in Herrin, IL

Mr. Leon Gauthier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 220 N Park Ave, Suite 2, Herrin, IL 62948
Phone: 618-942-3344    Fax: 618-942-5045
Mr. John W Nugent, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948
Phone: 618-997-6800    Fax: 618-998-9124
Mr. Hollis Johnson Clark Jr., P.A.-C.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 510 Lincoln Dr, Herrin, IL 62948
Phone: 618-997-6800    Fax: 618-997-1187
Mr. Kevin L Rainey, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948
Phone: 618-997-6800    Fax: 618-998-9124
Mrs. Dena L Mccormick, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 201 S 14th St, Herrin, IL 62948
Phone: 618-942-2171    Fax: 618-988-6186
Mrs. Kelly Jackson Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 510 Lincoln Dr, Herrin, IL 62948
Phone: 618-997-6800    Fax: 618-997-1187
Gretchen B Mason, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 510 Lincoln Dr, Herrin, IL 62948
Phone: 618-997-6800    Fax: 618-998-9124

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.