Physician Services Of Mch - Medicare Primary Care in Mendota, IL

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Physician Services Of Mch is a medicare enrolled primary clinic (Family Medicine) in Mendota, Illinois. The current practice location for Physician Services Of Mch is 1401 East 12th Street, Mendota, Illinois. For appointments, you can reach them via phone at (815) 539-7461. The mailing address for Physician Services Of Mch is 124 Sw Adams St, Peoria, Illinois and phone number is (093) 655-2850.

Physician Services Of Mch is licensed to practice in Illinois (license number 0001537). The clinic also participates in the medicare program and its NPI number is 1407872997. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 539-7461.

Contact Information

Physician Services Of Mch
1401 East 12th Street
Mendota
IL 61342-9216
(815) 539-7461
(815) 538-5516

Map and Direction


Primary Care Clinic Profile

Full NamePhysician Services Of Mch
SpecialityFamily Medicine
Location1401 East 12th Street, Mendota, Illinois
Authorized Official Name and PositionRobert C. Sehring (CEO, OSF HEALTHCARE SYSTEM)
Authorized Official Contact3066552850
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physician Services Of Mch
124 Sw Adams St
Peoria
IL 61602-1320

Ph: (093) 655-2850		Physician Services Of Mch
1401 East 12th Street
Mendota
IL 61342-9216

Ph: (815) 539-7461

NPI Details:

NPI Number1407872997
Provider Enumeration Date07/15/2006
Last Update Date03/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2264335777
Medicare Enrollment IDO20040131000102

Medical Identifiers

Medical identifiers for Physician Services Of Mch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407872997NPI-NPPES
CI2549OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0001537 (Illinois)Primary
207X00000XOrthopaedic Surgery 0001537 (Illinois)Secondary
208600000XSurgery 0001537 (Illinois)Secondary
363A00000XPhysician Assistant 0001537 (Illinois)Secondary
363L00000XNurse Practitioner 0001537 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physician Services Of Mch acts as a billing entity for following providers:
Provider NameDavid C Hulsey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316992969
PECOS PAC ID: 8426955667
Enrollment ID: I20031216000809
Provider NameJane L Kotecki
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760451793
PECOS PAC ID: 4789578774
Enrollment ID: I20040211000152
Provider NameSerge Golber
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861464992
PECOS PAC ID: 5294637740
Enrollment ID: I20040313000408
Provider NameDana C Perry
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265434658
PECOS PAC ID: 3870484629
Enrollment ID: I20040322001834
Provider NameTroy S Cutler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639108020
PECOS PAC ID: 7012902232
Enrollment ID: I20040417000140
Provider NameMark A Meeker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225139058
PECOS PAC ID: 8123013604
Enrollment ID: I20040421000528
Provider NameDamian W Grivetti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518970847
PECOS PAC ID: 4789672114
Enrollment ID: I20040504001455
Provider NameGueorgui S Gueorguiev
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356336952
PECOS PAC ID: 4981694064
Enrollment ID: I20040512001483
Provider NameRobert G Vottero
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902832025
PECOS PAC ID: 1153303201
Enrollment ID: I20040603000187
Provider NameMichael G Saad
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831191261
PECOS PAC ID: 3577537349
Enrollment ID: I20040826000023
Provider NameScott M Guth
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568422962
PECOS PAC ID: 1850367434
Enrollment ID: I20040903001161
Provider NameJasmine N Bhurgri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821046186
PECOS PAC ID: 1254306723
Enrollment ID: I20041015000070
Provider NameKara Oprian Fess
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700843950
PECOS PAC ID: 7113976283
Enrollment ID: I20050117000129
Provider NameSherine F Hanna
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003886417
PECOS PAC ID: 6002867512
Enrollment ID: I20050202000250
Provider NameRaul V Guerrero
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053307660
PECOS PAC ID: 3274573951
Enrollment ID: I20050512000275
Provider NameBrian S Curtis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730272964
PECOS PAC ID: 2365478609
Enrollment ID: I20050708000808
Provider NameJames R Hubler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861428492
PECOS PAC ID: 8527095264
Enrollment ID: I20050725000372
Provider NameJames T Brown
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699704122
PECOS PAC ID: 2668409368
Enrollment ID: I20050725000835
Provider NameBrian R Pope
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275533820
PECOS PAC ID: 1355372889
Enrollment ID: I20050824001135
Provider NameLeonardo Lopez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376643007
PECOS PAC ID: 7810928280
Enrollment ID: I20050825000273
Provider NameShaista A Malik
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407965585
PECOS PAC ID: 8820002405
Enrollment ID: I20060202000855
Provider NameRobert W Morrow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295747137
PECOS PAC ID: 8820005275
Enrollment ID: I20060310000050
Provider NameAmy M Matheis Soliman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376566539
PECOS PAC ID: 8325042500
Enrollment ID: I20060830000290
Provider NameChristopher M Herman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588734842
PECOS PAC ID: 1658370119
Enrollment ID: I20061211000187
Provider NameJoseph Boyle
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356427785
PECOS PAC ID: 5890794861
Enrollment ID: I20061221000014
Provider NameMete Korkmaz
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1902833999
PECOS PAC ID: 7517967508
Enrollment ID: I20061221000232
Provider NameNiko I Keys
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881783793
PECOS PAC ID: 9436159266
Enrollment ID: I20070102000027
Provider NameRicardo J Calderon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194886226
PECOS PAC ID: 4284684077
Enrollment ID: I20070411000271
Provider NameKelly L Cox
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518182906
PECOS PAC ID: 3779471768
Enrollment ID: I20071126000332
Provider NameDimitrios T Mougolias
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053520700
PECOS PAC ID: 3375632748
Enrollment ID: I20071228000405
Provider NameJoan Marie Luckey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881767762
PECOS PAC ID: 7113004391
Enrollment ID: I20080411000656
Provider NameLouis R Lukancic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326153651
PECOS PAC ID: 0648332783
Enrollment ID: I20081223000635
Provider NameMichael S Morrow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013920420
PECOS PAC ID: 2365504412
Enrollment ID: I20081223000651
Provider NameShawn E Bailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447363585
PECOS PAC ID: 2365530219
Enrollment ID: I20090625000330
Provider NameEric Kivisto
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447257316
PECOS PAC ID: 8820155963
Enrollment ID: I20090917000544
Provider NameFazal A Khan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669430567
PECOS PAC ID: 2163564980
Enrollment ID: I20100116000161
Provider NameMichelle Lynn Vasquez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164629531
PECOS PAC ID: 2365567328
Enrollment ID: I20100914000609
Provider NameShylendra B Sreenivasappa
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1972706604
PECOS PAC ID: 3476740242
Enrollment ID: I20101206000580
Provider NameDebra M Herz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275842650
PECOS PAC ID: 6608057740
Enrollment ID: I20110223000496
Provider NameRahul R Sampat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790937092
PECOS PAC ID: 4981886983
Enrollment ID: I20110312000081
Provider NameChristopher B Beach
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1649245564
PECOS PAC ID: 7113187170
Enrollment ID: I20120328000823
Provider NameKatherine R Riva Foster
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073869475
PECOS PAC ID: 1951554856
Enrollment ID: I20121228000336
Provider NameKaren L Eggers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073806048
PECOS PAC ID: 6800037722
Enrollment ID: I20130718000482
Provider NameChristine E Hermosillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962838862
PECOS PAC ID: 7911134770
Enrollment ID: I20131226001054
Provider NameJennifer A Berkley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295088391
PECOS PAC ID: 2062641723
Enrollment ID: I20140129001866
Provider NameAndrew J Zidow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700141009
PECOS PAC ID: 6608196860
Enrollment ID: I20150908000188
Provider NameBharat N Raju
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720217581
PECOS PAC ID: 9830346477
Enrollment ID: I20150910000175
Provider NameJoy R Preciado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306216098
PECOS PAC ID: 1850595992
Enrollment ID: I20160108002309
Provider NameAlicia M Szafranski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912361361
PECOS PAC ID: 2769773449
Enrollment ID: I20160628001172
Provider NameTraci L Keyster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255684072
PECOS PAC ID: 2567754716
Enrollment ID: I20160707002099
Provider NameStacy A Piller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508319914
PECOS PAC ID: 8527355783
Enrollment ID: I20161003001309
Provider NameDavid J Kawior
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326453093
PECOS PAC ID: 3476857715
Enrollment ID: I20170227001657
Provider NameHallie A Konieczki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619425204
PECOS PAC ID: 0749564078
Enrollment ID: I20170303001488
Provider NameShahmohammed F Parves
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1538394838
PECOS PAC ID: 8123269255
Enrollment ID: I20170907001935
Provider NameAnastasia Figura
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023455680
PECOS PAC ID: 7416251814
Enrollment ID: I20170921000464
Provider NameAnju D Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407260110
PECOS PAC ID: 2860618048
Enrollment ID: I20170926002315
Provider NameGrant Michael Reed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215354246
PECOS PAC ID: 2365750973
Enrollment ID: I20171012001968
Provider NameBritnae L Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922524578
PECOS PAC ID: 8628335718
Enrollment ID: I20171128000808
Provider NameElizabeth L Stuart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669983789
PECOS PAC ID: 9931467933
Enrollment ID: I20171221000145
Provider NameRobert H Sorensen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447215702
PECOS PAC ID: 9032121793
Enrollment ID: I20180327001337
Provider NameAustin D Martin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730560822
PECOS PAC ID: 2163739541
Enrollment ID: I20180629001614
Provider NameCarrie B Finley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427531615
PECOS PAC ID: 8628320975
Enrollment ID: I20181015001561
Provider NameAlisha N Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487197745
PECOS PAC ID: 2567715519
Enrollment ID: I20181022002454
Provider NameCynthia Salazar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477010031
PECOS PAC ID: 2264774157
Enrollment ID: I20190424002015
Provider NameKeith J Christensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255844189
PECOS PAC ID: 9133552466
Enrollment ID: I20191127001370
Provider NameTaylor Anne Vipond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528603057
PECOS PAC ID: 4082049358
Enrollment ID: I20200114002094
Provider NameJanie Clary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053912188
PECOS PAC ID: 7416360458
Enrollment ID: I20210111003071
Provider NameSusan J Olsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508491663
PECOS PAC ID: 8527472661
Enrollment ID: I20210201000392
Provider NameConnor Joseph Kristof
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912495383
PECOS PAC ID: 7113277815
Enrollment ID: I20210611002460
Provider NameMarcela R Lemus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962175562
PECOS PAC ID: 5294131041
Enrollment ID: I20210902002559
Provider NameCandace R Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053087767
PECOS PAC ID: 9537567391
Enrollment ID: I20211007003068
Provider NameMaritza Yesenia Estrada-o'brien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184187767
PECOS PAC ID: 9234522079
Enrollment ID: I20220131001759
Provider NameTiffany Ann Shinnick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003388463
PECOS PAC ID: 3678960689
Enrollment ID: I20220421001520
Provider NameMelissa E Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043943830
PECOS PAC ID: 1254703887
Enrollment ID: I20230208002099
Provider NameAmy Gail Corsolini
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992407738
PECOS PAC ID: 9638538093
Enrollment ID: I20230703000184
Provider NameBridget A Pratt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427741933
PECOS PAC ID: 6901266659
Enrollment ID: I20230713001900

Reviews and Comments


Family Medicine in Mendota, IL

Osf Promptcare
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 E 12th St Ste 400, Mendota, IL 61342
Phone: 815-538-7200    
Community Health Partnership Of Illinois
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1009 Main St, Mendota, IL 61342
Phone: 815-539-6124    Fax: 815-539-9015
Osf Medical Group-washington Street
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1401 Washington Street, Mendota, IL 61342
Phone: 815-538-1825    
Associated Physicians, Sc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1405 E 12th St, Suite 300, Mendota, IL 61342
Phone: 815-539-3141    Fax: 815-487-4901
Dr. Megan's Healthcare Ministries Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-539-3739    Fax: 815-539-3753
Osf Saint Paul Medical Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1405 E 12th St, Mendota, IL 61342
Phone: 815-539-7461    

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.