Deaconess Illinois Crossroads Inc

A Medicare group practice based in Mount Vernon, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0143692178), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143692178The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
4
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20230301002192 IL Part A Provider - Hospital 1124745807
O20230221000097 IL Part B Supplier - Clinic/Group Practice 1528785284
O20230224002452 IL Part A Provider - Rural Health Clinic 1528785284
O20230308000409 IL Part A Provider - Rural Health Clinic 1316663602

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (7).

Sources for this page