Southern Illinois Hospital Services
A Medicare group practice based in Marion, IL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 2961310966), with 36 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2961310966
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 7
- Group size
- 12 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 53
Enrollment records 7
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100622000692 | IL | Part A Provider - Rural Health Clinic | 1154408581 |
| O20031211000718 | IL | Part B Supplier - Clinic/Group Practice | 1528158573 |
| O20071117000076 | IL | Part A Provider - Hospital | 1093801797 |
| O20071117000130 | IL | Part A Provider - Hospital | 1225122047 |
| O20071117000024 | IL | Part A Provider - Critical Access Hospital | 1356435135 |
| O20071117000048 | IL | Part A Provider - Hospital | 1528158573 |
| O20210901003736 | IL | Part A Provider - Critical Access Hospital | 1639595036 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southern Illinois Hospital Services
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
Southern Illinois Hospital Services
- Family Medicine Physician
- West Frankfort, IL
- NPI 1154408581
-
Southern Illinois Hospital Services
- Rehabilitation Hospital Unit
- Herrin, IL
- NPI 1225122047
-
Southern Illinois Hospital Services
- Critical Access Hospital
- Murphysboro, IL
- NPI 1356435135
-
Southern Illinois Hospital Services
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
Southern Illinois Hospital Services
- Medicare Defined Swing Bed Hospital Unit
- Murphysboro, IL
- NPI 1639595036
Practice locations
- Herrin, IL10
- Marion, IL10
- Carbondale, IL8
- West Frankfort, IL7
- Murphysboro, IL5
- Harrisburg, IL5
- Benton, IL3
- Anna, IL2
- Carterville, IL2
- W Frankfort, IL1
Clinicians 36
Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (12).
-
Raed Al-Dallow, M.D.
- Interventional Cardiology Physician
- Carbondale, IL
- NPI 1164572095
-
Pramote Anantachai, MD
- Internal Medicine Physician
- Herrin, IL
- NPI 1841344876
-
Max A Baier, NP
- Nurse Practitioner
- West Frankfort, IL
- NPI 1972589919
-
Dale W Blaise, MD
- Family Medicine Physician
- Murphysboro, IL
- NPI 1770557472
-
Jenifer Marie Chambless, PA-C
- Physician Assistant
- Carbondale, IL
- NPI 1962549790
-
Radhika Chang, MD
- Family Medicine Physician
- Carbondale, IL
- NPI 1982272183
-
Cesar E Coello, M.D.
- Cardiovascular Disease Physician
- Carbondale, IL
- NPI 1003997560
-
Elbert A Fasnacht II, MD
- Internal Medicine Physician
- Carbondale, IL
- NPI 1790834828
-
Joeli Gebhart, PAC
- Physician Assistant
- Carbondale, IL
- NPI 1013436039
-
Jerry L Goddard, M.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1295711240
-
Susan Elizabeth Grace, LCSW
- Clinical Social Worker
- Carbondale, IL
- NPI 1689189177
-
Daniel Allen Hagerman, PA
- Physician Assistant
- Carbondale, IL
- NPI 1790334944
-
Christopher James Hanson, M.D., M.B.A
- Family Medicine Physician
- Carbondale, IL
- NPI 1447514971
-
John D Hartman, MD
- Family Medicine Physician
- Benton, IL
- NPI 1851399976
-
Macy L Henson, PA-C
- Medical Physician Assistant
- Carbondale, IL
- NPI 1336605237
-
Britton Kyle Herrin, PA-C
- Medical Physician Assistant
- Carbondale, IL
- NPI 1235753559
-
Robert L Holmes, D.O., PH.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1861466393
-
Pamela Kay Hunter-Reach, MD
- Family Medicine Physician
- Carbondale, IL
- NPI 1942208988
-
Emily Elise Kermicle, PA-C
- Physician Assistant
- Carbondale, IL
- NPI 1881935245
-
Laura R Kidd, P.A.
- Physician Assistant
- Carbondale, IL
- NPI 1396842480
-
Son P Le, M.D.
- Interventional Cardiology Physician
- Carbondale, IL
- NPI 1902988009
-
Sara B Malone, MD
- Family Medicine Physician
- Carbondale, IL
- NPI 1386976298
-
Alicia D Markley, PA-C
- Physician Assistant
- West Frankfort, IL
- NPI 1912008020
-
Deedra Gail McLain, M.D.
- General Practice Physician
- Carbondale, IL
- NPI 1770635062
-
Marci I Moore-Connelley, M.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1851377717
-
Kowsika Movva, M.D.
- Family Medicine Physician
- Mesquite, TX
- NPI 1023490950
-
Javier Muniz, D.O.
- Internal Medicine Physician
- Herrin, IL
- NPI 1548263668
-
Kyaw T Naing, M.D., PH.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1215913181
-
Dois Charles Ogan, DO
- Family Medicine Physician
- Carbondale, IL
- NPI 1821583964
-
Brian Jay Reach, M.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1104824598
-
Jennifer Kay Rose, M.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1942640438
-
Scott K Schonewolf, M.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1114996204
-
Quincy O Scott, D.O.
- Family Medicine Physician
- Carbondale, IL
- NPI 1992781710
-
Sharon A Smaga, M.D.
- Family Medicine Physician
- Carbondale, IL
- NPI 1689650566
-
Stephanie Nicole Whitlock, NP
- Family Nurse Practitioner
- Carbondale, IL
- NPI 1588222608
-
Andrew Joseph Yochum, DO
- Family Medicine Physician
- Carbondale, IL
- NPI 1568682649
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.