Macoupin County Public Health Department
A Medicare group practice based in Carlinville, IL: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 1557377850), with 21 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1557377850
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 7
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 12
Enrollment records 7
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120221000973 | IL | Part A Provider - Federally Qualified Health Center (FQHC) | 1538444906 |
| O20141112000630 | IL | Part A Provider - Federally Qualified Health Center (FQHC) | 1861800526 |
| O20221223000756 | IL | Part A Provider - Federally Qualified Health Center (FQHC) | 1184351173 |
| O20210105000238 | IL | Part A Provider - Federally Qualified Health Center (FQHC) | 1720687841 |
| O20201229001853 | IL | Part A Provider - Federally Qualified Health Center (FQHC) | 1831798958 |
| O20191105001065 | IL | Part B Supplier - Clinic/Group Practice | 1578618203 |
| O20060223000446 | IL | Part B Supplier - Clinic/Group Practice | 1538444906 |
NPIs in this group 9
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Macoupin County Public Health Department
- Federally Qualified Health Center (FQHC)
- Carlinville, IL
- NPI 1184351173
-
Macoupin County Public Health Department
- Federally Qualified Health Center (FQHC)
- Gillespie, IL
- NPI 1538444906
-
Macoupin County Public Health Department
- Public Health or Welfare Agency
- Carlinville, IL
- NPI 1578618203
-
Macoupin County Public Health Department
dba St Francis Way Clinic
- Federally Qualified Health Center (FQHC)
- Litchfield, IL
- NPI 1720687841
-
Macoupin County Public Health Department
dba Columbian Boulevard Dental Clinic
- Federally Qualified Health Center (FQHC)
- Litchfield, IL
- NPI 1831798958
-
Macoupin County Public Health Department
dba Macoupin County Public Health Clinic Site
- Federally Qualified Health Center (FQHC)
- Carlinville, IL
- NPI 1861800526
-
Macoupin County Public Health Department
dba Macoupin County Recovery Center
- Federally Qualified Health Center (FQHC)
- Gillespie, IL
- NPI 1053892513
-
Macoupin County Public Health Department
- Public Health or Welfare Agency
- Gillespie, IL
- NPI 1750814349
-
Macoupin County Public Health Department
- State or Local Public Health Clinic/Center
- Gillespie, IL
- NPI 1801924949
Practice locations
- Carlinville, IL5
- Litchfield, IL4
- Gillespie, IL3
Clinicians 21
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (2).
-
August Glenn Adams, MD
- Family Medicine Physician
- Southport, NC
- NPI 1992803985
-
Esha Bhatt
- General Practice Dentistry
- Gillespie, IL
- NPI 1073126199
-
Steven John Boente, D.M.D.
- General Practice Dentistry
- Carlinville, IL
- NPI 1700967031
-
Ashley Renee Brown, DMD
- General Practice Dentistry
- Gillespie, IL
- NPI 1114601051
-
Kristin Buller, LCSW
- Clinical Social Worker
- Carlinville, IL
- NPI 1982982534
-
Sandra L Cania
- Psychiatric/Mental Health Nurse Practitioner
- Gillespie, IL
- NPI 1316441868
-
Colleen E Cash, MPH, RDN
- Registered Dietitian
- Carlinville, IL
- NPI 1528677119
-
Parth Desai
- General Practice Dentistry
- Carlinville, IL
- NPI 1952916355
-
Ashley D Greenwalt, APRN
- Family Nurse Practitioner
- Gillespie, IL
- NPI 1306590088
-
Ronald K Howard Jr., LCPC
- Mental Health Counselor
- Carlinville, IL
- NPI 1871110734
-
Zuzana Jackevicius Killam
- Psychiatric/Mental Health Nurse Practitioner
- Gillespie, IL
- NPI 1306584917
-
Divya J Makhija
- Dentist
- Gillespie, IL
- NPI 1902641780
-
Jamie J Ott, FNP-C
- Nurse Practitioner
- Gillespie, IL
- NPI 1285673780
-
Donna Rasmussen, PA-C
- Physician Assistant
- Gillespie, IL
- NPI 1619345469
-
Julia Terese Ruckman, MSW, LCSW
- Clinical Social Worker
- Gillespie, IL
- NPI 1356599971
-
Lakshmi Sajja, DDS
- General Practice Dentistry
- Litchfield, IL
- NPI 1669062402
-
Kathy Jo Shafer, D.M.D.
- General Practice Dentistry
- Litchfield, IL
- NPI 1750499729
-
Samantha Thomas, FNP-BC
- Nurse Practitioner
- Gillespie, IL
- NPI 1447789169
-
Carissa J Van Den Berk-Clark, PHD, LCSW
- Clinical Social Worker
- Litchfield, IL
- NPI 1609625136
-
Amanda Marie Vogel, FNP-C PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Litchfield, IL
- NPI 1790249449
-
Michael Robert Wattles, D.M.D.
- Dentist
- Carlinville, IL
- NPI 1093956534
Sources for this page
- 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.