Passavant Memorial Area Hospital Association
A Medicare group practice based in Jacksonville, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3173503281), with 47 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3173503281
- Provider type
- Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 2
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210624003149 | IL | Part A Provider - Critical Access Hospital | 1174580831 |
| O20180508002390 | IL | Part B Supplier - Clinic/Group Practice | 1760994040 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Passavant Memorial Area Hospital Association
dba Passavant Area Hospital
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
Passavant Memorial Area Hospital Association
dba Passavant Professional Services
- Internal Medicine Physician
- Jacksonville, IL
- NPI 1760994040
-
Passavant Memorial Area Hospital Association
dba Jacksonville Professional Fees
- Multi-Specialty Clinic/Center
- Jacksonville, IL
- NPI 1235864810
Practice locations
- Jacksonville, IL6
Clinicians 47
Clinicians who reassign their Medicare benefits to this group (47) or whom Care Compare lists as members (9).
-
Omar Mohammad Al-Heeti, MD
- Infectious Disease Physician
- Decatur, IL
- NPI 1083903645
-
Matthew Edward Albrecht, M.D.
- Emergency Medicine Physician
- Springfield, IL
- NPI 1174887384
-
Susan K Allen, ACNP
- Acute Care Nurse Practitioner
- Springfield, IL
- NPI 1760631683
-
David M Beatty, MD
- Family Medicine Physician
- Springfield, IL
- NPI 1568471274
-
Jennifer Lynn Butler, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1710545520
-
Yuan Chen, NP
- Family Nurse Practitioner
- Springfield, IL
- NPI 1508202045
-
Arthur Chou, DO
- Emergency Medicine Physician
- Springfield, IL
- NPI 1508359399
-
Sydney Desollar
- Nurse Practitioner
- Springfield, IL
- NPI 1811587314
-
Sierra Lee Dodd
- Family Nurse Practitioner
- Springfield, IL
- NPI 1184214660
-
Nida Naeem Khan Feller, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1366937575
-
Kelly Galanos, M.D.
- Emergency Medicine Physician
- Springfield, IL
- NPI 1043627219
-
Brittney Ellene Gallivan, NP-C
- Family Nurse Practitioner
- Springfield, IL
- NPI 1659928646
-
Alexis Catherine Gazda, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1043874761
-
Aaron Michael Golitko, DO
- Emergency Medicine Physician
- Springfield, IL
- NPI 1881122844
-
Kenneth Guillotte, DO
- Emergency Medicine Physician
- Springfield, IL
- NPI 1649709668
-
Gary Hendricks, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1770105249
-
Alissa Beth Howard, FNP
- Family Nurse Practitioner
- Springfield, IL
- NPI 1396278255
-
Matthew Johnston, M.D.
- Emergency Medicine Physician
- Springfield, IL
- NPI 1780628677
-
Helen D Kwong, MD
- Internal Medicine Physician
- Springfield, IL
- NPI 1346357886
-
Bharat Neelam Raju, MD
- Internal Medicine Physician
- Decatur, IL
- NPI 1942736053
-
Luke Norris, DO
- Emergency Medicine Physician
- Jacksonville, IL
- NPI 1477129542
-
Katy Jo Northcutt, APRN, CNP
- Family Nurse Practitioner
- Bloomington, IL
- NPI 1609343128
-
Daniel Sullivan O'Keefe, M.D.
- Infectious Disease Physician
- Springfield, IL
- NPI 1528324738
-
Frank B Parks, DO
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1922093731
-
Laura Parrack, FNP-BC
- Family Nurse Practitioner
- Springfield, IL
- NPI 1619414034
-
Blair W Patterson, N.P.
- Family Nurse Practitioner
- Springfield, IL
- NPI 1841446770
-
Thayer Starr Phelan, MD
- Emergency Medicine Physician
- Winslow, AZ
- NPI 1821209354
-
Alita M. Rastello, AGACNP-BC
- Acute Care Nurse Practitioner
- Springfield, IL
- NPI 1255874392
-
Charles Dusten Reeve, D.O.
- Emergency Medicine Physician
- Springfield, IL
- NPI 1952612822
-
Tiffany Nicole Renfro, FNP-C
- Family Nurse Practitioner
- Springfield, IL
- NPI 1285279612
-
Bailey June Royer, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1609443191
-
Daniel Savage, M.D.
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1568889558
-
Rachel Lynn Schmalshof, MD
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1366018624
-
Mary Ann Seagle, APN
- Adult Health Nurse Practitioner
- Springfield, IL
- NPI 1316552524
-
Sterling Shafer, MD
- Emergency Medicine Physician
- Jacksonville, IL
- NPI 1316065873
-
Karen Sibert, RD
- Registered Dietitian
- Jacksonville, IL
- NPI 1417081134
-
Robin E Simon, APRN
- Nurse Practitioner
- Springfield, IL
- NPI 1831798933
-
Robert Matthew Tennill, M.D.
- Emergency Medicine Physician
- Springfield, IL
- NPI 1801215231
-
Elias Trace, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1396237095
-
Frank Angelo Verdu III, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1992434310
-
Jerel Watson, M.D.
- Emergency Medicine Physician
- Springfield, IL
- NPI 1760747406
-
Savanna Nicole Weder, DNP
- Nurse Practitioner
- Springfield, IL
- NPI 1609688845
-
Catalina West
- Family Nurse Practitioner
- Decatur, IL
- NPI 1659071868
-
Kirstie Ali Williams
- Family Nurse Practitioner
- Edwardsville, IL
- NPI 1639708688
-
Matthew K Woodruff, PA-C
- Physician Assistant
- Paris, IL
- NPI 1235648221
-
Raymond B. Wynn, MD
- Radiation Oncology Physician
- Erie, PA
- NPI 1548216195
-
William Cody Yarnell, MD
- Emergency Medicine Physician
- Springfield, IL
- NPI 1518541556
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.