Deaconess Illinois Red Bud Regional Hospital Inc

A Medicare group practice based in Red Bud, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537531579), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537531579The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
4
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20230307001328 IL Part A Provider - Rural Health Clinic 1619693926
O20230313001680 IL Part A Provider - Critical Access Hospital 1407573132
O20230313000598 IL Part A Provider - Critical Access Hospital 1407573132
O20230221000484 IL Part B Supplier - Clinic/Group Practice 1619693926

NPIs in this group 2

NPPES NPI Registry

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

Practice locations

Locations on the Medicare enrollment

Clinicians 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (15).

Sources for this page