Jefferson County Comprehensive

PAC ID

1153350103The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

IL

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

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

• Jefferson County Comprehensive

  • Substance Abuse Rehabilitation Facility
  • Mount Vernon, IL
  • NPI 1649404708
• Jefferson County Comprehensive

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
  • NPI 1972533990

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

• Angela Betters, DNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, IL
  • NPI 1295442325
• Larry W Knopp, MA LCPC

  • Counselor
  • Mount Vernon, IL
  • NPI 1679595458
• Brandon Nabors, MA, QMHP

  • Mental Health Counselor
  • Mount Vernon, IL
  • NPI 1891370524

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.