Massac Memorial Hospital
A Medicare group practice based in Metropolis, IL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 3072422799), with 19 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3072422799
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 7
- Group size
- 15 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 7
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20071107000747 | IL | Part A Provider - Critical Access Hospital | 1790788578 |
| O20071108000092 | IL | Part A Provider - Critical Access Hospital | 1831226901 |
| O20071108000167 | IL | Part A Provider - Rural Health Clinic | 1740355809 |
| O20040322000487 | IL | Part B Supplier - Clinic/Group Practice | 1790788578 |
| O20200722001392 | IL | Part A Provider - Rural Health Clinic | 1356968275 |
| O20190227001337 | IL | Part A Provider - Rural Health Clinic | 1417303181 |
| O20180320001651 | IL | Part B Supplier - Ambulance Service Supplier | 1801941968 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Massac Memorial Hospital
dba Massac Memorial Inegrated Care Clinic
- Rural Health Clinic/Center
- Metropolis, IL
- NPI 1356968275
-
Massac Memorial Hospital
dba Massac Memorial Medical Clinic II
- Rural Health Clinic/Center
- Metropolis, IL
- NPI 1417303181
-
Massac Memorial Hospital
dba Massac Memorial Medical Clinic
- Rural Health Clinic/Center
- Metropolis, IL
- NPI 1740355809
-
Massac Memorial Hospital
- Critical Access Hospital
- Metropolis, IL
- NPI 1790788578
-
Massac Memorial Hospital
- Ambulance
- Metropolis, IL
- NPI 1801941968
-
Massac Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Metropolis, IL
- NPI 1831226901
Practice locations
- Metropolis, IL10
Clinicians 19
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (15).
-
Sanjay Bose, MD
- Interventional Cardiology Physician
- Paducah, KY
- NPI 1225038698
-
Terry Michael Brown, DO
- Sleep Medicine (Psychiatry & Neurology) Physician
- Marion, IL
- NPI 1811085293
-
Adam Connell, M.D.
- Psychiatry Physician
- Metropolis, IL
- NPI 1588026579
-
Yusheng Dong, MD
- Family Medicine Physician
- Metropolis, IL
- NPI 1487393674
-
Ashley Hagerty, PA-C
- Physician Assistant
- Metropolis, IL
- NPI 1336622836
-
Alyce Hannan
- Family Nurse Practitioner
- Metropolis, IL
- NPI 1073153235
-
James M Hawkins, M.D.
- Otolaryngology Physician
- Benton, KY
- NPI 1346274438
-
Christy Kennedy, APRN, FNP-C
- Family Nurse Practitioner
- Metropolis, IL
- NPI 1194392654
-
Bharat K Patel, SC
- Internal Medicine Physician
- Metropolis, IL
- NPI 1992735526
-
Amanda D Reed, ARNP
- Family Nurse Practitioner
- Metropolis, IL
- NPI 1881928992
-
Ferdinand F Salvacion, M.D.
- Pain Medicine Physician
- Paducah, KY
- NPI 1710958640
-
Thomas Waldon Staton, M.D.
- Family Medicine Physician
- Metropolis, IL
- NPI 1306825500
-
Ashley Dawn Suggs, APRN
- Family Nurse Practitioner
- Metropolis, IL
- NPI 1205545639
-
Jonathan E Walters, M.D.
- Family Medicine Physician
- Metropolis, IL
- NPI 1427286038
-
Pamila Pace Ward
- Registered Dietitian
- Metropolis, IL
- NPI 1528824695
-
Randy Ray Wientjes, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Metropolis, IL
- NPI 1154352045
-
Roberta Susan Williams, LCPC
- Professional Counselor
- Metropolis, IL
- NPI 1245079680
-
Mallory Renee Wittig, FNP
- Family Nurse Practitioner
- Metropolis, IL
- NPI 1114285517
-
Jessica Jean Wright, APRN
- Family Nurse Practitioner
- Metropolis, IL
- NPI 1194695213
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.