Deaconess Illinois Rural Health Clinic Anna is a medicare enrolled "Clinic/center - Rural Health" provider in Anna, Illinois. Their current practice location is
517 N Main St Rm 22, Anna, Illinois. You can reach out to their office (for appointments etc.) via phone at
(618) 833-2295.
Deaconess Illinois Rural Health Clinic Anna is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Deaconess Illinois Rural Health Clinic Anna
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1184340408.
Healthcare Provider's Profile
| Full Name | Deaconess Illinois Rural Health Clinic Anna |
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| Type | Facility |
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| Speciality | Clinic/center - Rural Health |
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| Location | 517 N Main St Rm 22, Anna, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184340408
- Provider Enumeration Date: 10/18/2022
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072986025
- Enrollment ID: O20230222002538
Medical Identifiers
Medical identifiers for Deaconess Illinois Rural Health Clinic Anna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184340408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Deaconess Illinois Rural Health Clinic Anna acts as a billing entity for following providers:
| Provider Name | Jeffery S Deacon |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1104919075
PECOS PAC ID: 3274504832
Enrollment ID: I20061221000132 |
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| Provider Name | Kathy L Schierbaum |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1700906021
PECOS PAC ID: 8022201516
Enrollment ID: I20101015000966 |
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| Provider Name | Jill B Wilson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1326314634
PECOS PAC ID: 2062642572
Enrollment ID: I20140303000569 |
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| Provider Name | Elizabeth Shallenberger |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1104300094
PECOS PAC ID: 7719231562
Enrollment ID: I20181113002809 |
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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. Deaconess Illinois Rural Health Clinic Anna 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 Address | Practice Location Address |
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Deaconess Illinois Rural Health Clinic Anna
Po Box 34141,
Belfast, ME 04915-0619
Ph: (812) 450-6815 | Deaconess Illinois Rural Health Clinic Anna
517 N Main St Rm 22,
Anna, IL 62906-1668
Ph: (618) 833-2295 |
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