Stacie Chambliss, PT - Medicare Physical Therapist in Mount Vernon, IL

Stacie Chambliss, PT is a medicare enrolled "Physical Therapist" provider in Mount Vernon, Illinois. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Orthopaedic Center Of Southern Illinois, Ltd and her current practice location is 4121 Veterans Memorial Dr, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 242-3778.

Stacie Chambliss is licensed to practice in Illinois (license number 070016676) 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 1780832253.

Contact Information

Stacie Chambliss, PT
4121 Veterans Memorial Dr,
Mount Vernon, IL 62864-6262
(618) 242-3778
(618) 242-2551

Map and Direction




Healthcare Provider's Profile

Full NameStacie Chambliss
GenderFemale
SpecialityPhysical Therapy
Experience16 Years
Location4121 Veterans Memorial Dr, Mount Vernon, 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:
  • Stacie Chambliss graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1780832253
  • Provider Enumeration Date: 09/08/2008
  • Last Update Date: 05/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1951461342
  • Enrollment ID: I20081114000378

Medical Identifiers

Medical identifiers for Stacie Chambliss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780832253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 070016676 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopaedic Center Of Southern Illinois, Ltd690170544119

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. Stacie Chambliss allows following entities to bill medicare on her behalf.
Provider NameOrthopaedic Center Of Southern Illinois, Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134171226
PECOS PAC ID: 6901705441
Enrollment ID: O20040105000416
Provider NameEmpowerme Rehabilitation Illinois Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353

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. Stacie Chambliss 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
Stacie Chambliss, PT
4121 Veterans Memorial Dr,
Mount Vernon, IL 62864-6262

Ph: (618) 242-3778
Stacie Chambliss, PT
4121 Veterans Memorial Dr,
Mount Vernon, IL 62864-6262

Ph: (618) 242-3778

Reviews and Comments


Physical Therapist in Mount Vernon, IL

Mary L. Stedelin, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864
Phone: 618-204-5497    Fax: 618-204-5487
Terri S Garrett, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 208 Zachery Dr, Mount Vernon, IL 62864
Phone: 618-204-5497    
Mrs. Cheryl Jeanne Uy Rushing, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864
Phone: 618-241-8595    Fax: 618-241-8759
James M Mulvaney,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1007 S 42nd St, Suite 5, Mount Vernon, IL 62864
Phone: 618-244-1163    Fax: 618-244-1522
Hayden Klockenga, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-242-3778    
Mrs. Susan Christine Portner, RPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-242-8887    Fax: 618-244-5537
Mrs. Stephanie Schaubert, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-242-3778    Fax: 618-242-2551

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.