St Josephs Hospital Breese of the Hospital Sisters of the Third Orde

A Medicare group practice based in Breese, IL: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9638064892), with 60 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638064892The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation
Enrolled in
CA, IL, PA, TX
Enrollments
9
Group size
33 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 6 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20191022002390 IL Part A Provider - Hospital 1447747316
O20040217000493 IL Part B Supplier - Clinic/Group Practice 1457319154
O20250116000944 PA Part B Supplier - Clinic/Group Practice 1457319154
O20241203001379 CA Part B Supplier - Clinic/Group Practice 1457319154
O20241120002454 TX Part B Supplier - Clinic/Group Practice 1457319154
O20250915000318 IL Part B Supplier - Intensive Cardiac Rehabilitation 1457319154
O20101215001188 IL Part A Provider - Hospital 1457319154
O20090521000178 IL Part A Provider - Rural Health Clinic 1013002658
O20160823000952 IL Part A Provider - Rural Health Clinic 1780047944

NPIs in this group 8

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 60

Clinicians who reassign their Medicare benefits to this group (59) or whom Care Compare lists as members (33).

Sources for this page