| Mid-illinois Medical Care Associates, Llc | |
|
1207 Network Centre Dr Suite 3 Effingham IL 62401-4632 | |
| (217) 347-2707 | |
| (217) 347-2827 |
| Full Name | Mid-illinois Medical Care Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1207 Network Centre Dr, Effingham, Illinois |
| Authorized Official Name and Position | Eugene P. Dust (PRESIDENT) |
| Authorized Official Contact | 2173472707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-illinois Medical Care Associates, Llc 1207 Network Centre Dr Suite 3 Effingham IL 62401-4632 Ph: (217) 347-2707 | Mid-illinois Medical Care Associates, Llc 1207 Network Centre Dr Suite 3 Effingham IL 62401-4632 Ph: (217) 347-2707 |
| NPI Number | 1922067289 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/01/2017 |
| Medicare PECOS PAC ID | 0446159735 |
|---|---|
| Medicare Enrollment ID | O20051121000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922067289 | NPI | - | NPPES |
| 2523247 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberley Sue Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932120466 PECOS PAC ID: 5092767681 Enrollment ID: I20050211000090 |
| Provider Name | John P. Opilka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497715056 PECOS PAC ID: 5698674984 Enrollment ID: I20051121000215 |
| Provider Name | Sean P Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407816044 PECOS PAC ID: 9234114943 Enrollment ID: I20051219000543 |
| Provider Name | Philip E Siefken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689629107 PECOS PAC ID: 3870596034 Enrollment ID: I20060809000182 |
| Provider Name | Michelle R Braddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619068061 PECOS PAC ID: 5597869339 Enrollment ID: I20080829000033 |
| Provider Name | John U Merkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972563500 PECOS PAC ID: 2961301254 Enrollment ID: I20100318000194 |
| Provider Name | Charles W. Runde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760442214 PECOS PAC ID: 5597664888 Enrollment ID: I20100318000233 |
| Provider Name | Becky L Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023349230 PECOS PAC ID: 0547393662 Enrollment ID: I20100727000028 |
| Provider Name | Lenora M Drees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831174432 PECOS PAC ID: 9436341054 Enrollment ID: I20101014000039 |
| Provider Name | Andrew R Gage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013931567 PECOS PAC ID: 2466645239 Enrollment ID: I20101025001123 |
| Provider Name | Kelsey Leigh Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508012527 PECOS PAC ID: 6608928270 Enrollment ID: I20101104000319 |
| Provider Name | Bernard H Habing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649586819 PECOS PAC ID: 2062694342 Enrollment ID: I20110308000387 |
| Provider Name | Eric Anthony Bloemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073742664 PECOS PAC ID: 6608068093 Enrollment ID: I20120726000235 |
| Provider Name | Jennifer E Kistner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972892313 PECOS PAC ID: 3072748771 Enrollment ID: I20131106000282 |
| Provider Name | Heather Lynn Forys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902218308 PECOS PAC ID: 3274757463 Enrollment ID: I20140609001588 |
| Provider Name | Heather Marie Beckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962760041 PECOS PAC ID: 8628292117 Enrollment ID: I20140625000130 |
| Provider Name | Kathleen M Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215376983 PECOS PAC ID: 6305160516 Enrollment ID: I20150116001592 |
| Provider Name | Brittany Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073054979 PECOS PAC ID: 9032494141 Enrollment ID: I20170331000984 |
| Provider Name | Kendra L Zerrusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134660590 PECOS PAC ID: 6406123470 Enrollment ID: I20170522002952 |
| Provider Name | Stacia Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164626826 PECOS PAC ID: 7810264298 Enrollment ID: I20170607000378 |
| Provider Name | Randi Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578008769 PECOS PAC ID: 8022381508 Enrollment ID: I20170905002227 |
| Provider Name | Jennifer Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729189 PECOS PAC ID: 7113293945 Enrollment ID: I20171024000817 |
| Provider Name | Catherine N Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496819 PECOS PAC ID: 3274883228 Enrollment ID: I20180912002007 |
| Provider Name | Emily M Nosbisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932686326 PECOS PAC ID: 2668726019 Enrollment ID: I20181121000869 |
| Provider Name | Tammy Andes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639635972 PECOS PAC ID: 3971844853 Enrollment ID: I20190402000883 |
| Provider Name | Kathryn Lynn Koester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720631443 PECOS PAC ID: 2163759523 Enrollment ID: I20190807002069 |
| Provider Name | Rebekah E Doty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790332450 PECOS PAC ID: 8224461678 Enrollment ID: I20191126000454 |
| Provider Name | Angelica Wehrle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912544420 PECOS PAC ID: 0244666527 Enrollment ID: I20200205000080 |
| Provider Name | Zachary Backlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871150946 PECOS PAC ID: 4385073055 Enrollment ID: I20200331002880 |
Paul D. Oltman, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Temple Ave, Suite 204, Effingham, IL 62401 Phone: 217-347-7776 Fax: 217-347-7526 | |
Baggett Chiropractic Care, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Fayette Ave, Effingham, IL 62401 Phone: 217-342-9700 Fax: 217-342-9710 | |
Cep America-illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-347-1211 | |
Catching Glimpses Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Banker St Ste C, Effingham, IL 62401 Phone: 217-347-2229 | |
Springfield Clinic Rural Health Effingham Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-342-4190 | |
Hshs Medical Group Family & Internal Medicine - Effingham Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 W Temple Ave Ste 1500, Effingham, IL 62401 Phone: 217-347-0458 Fax: 217-342-2992 | |
Effingham Express Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Avenue Of Mid America Ste 4, Effingham, IL 62401 Phone: 217-994-9301 Fax: 217-994-9304 |