| Memorial Physician Services | |
|
15 Founders Ln Suite 100 Jacksonville IL 62650-3919 | |
| (217) 243-0300 | |
| (217) 245-6775 |
| Full Name | Memorial Physician Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Founders Ln, Jacksonville, Illinois |
| Authorized Official Name and Position | James T Dowell (VICE PRESIDENT, MPS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Physician Services Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Memorial Physician Services 15 Founders Ln Suite 100 Jacksonville IL 62650-3919 Ph: (217) 243-0300 |
| NPI Number | 1558614867 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 02/11/2021 |
| Medicare PECOS PAC ID | 9032005681 |
|---|---|
| Medicare Enrollment ID | O20130125000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558614867 | NPI | - | NPPES |
| 148905 | Other | RHC MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jacksonville Pediatric Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113 | |
Siu Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Westgate Ave, Jacksonville, IL 62650 Phone: 217-243-8455 | |
Central Illinois Snf Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 W Walnut St, Jacksonville, IL 62650 Phone: 630-336-5620 | |
Springfield Clinic Jacksonville Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W Morton Ave, Jacksonville, IL 62650 Phone: 217-243-6520 | |
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Jacksonville Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Lafayette Ave, Jacksonville, IL 62650 Phone: 217-243-7200 Fax: 217-243-6165 | |
Memorial Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650 Phone: 217-245-5437 Fax: 217-243-3113 |