Active NPI
Annmarie S McDonagh, MD
- Psychiatry Physician
- Charleston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-146788
- Practice address
- 700 W Lincoln Ave Ste 200
Charleston, IL 61920-2468 - Phone
- (217) 238-4866
- Fax
- (217) 258-4053
- NPI assigned
- Nov 28, 2006
- Last updated
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8406 | NH | |
| Psychiatry Physician | 2084P0800X | 036-146788 | IL | Primary |
Addresses
Primary practice location
700 W Lincoln Ave Ste 200
Charleston, IL 61920-2468
Mailing address
PO Box 372
Mattoon, IL 61938-0372
Other practice location 1
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-4042
Other practice location 2
385 N Main St
West Lebanon, NH 03784-1009
Phone (217) 258-4042
Other practice location 3
159 Slayton Hill Rd
Lebanon, NH 03766-2509
Phone (603) 448-3761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1005 Health Ctr Dr
Suite 102
Mattoon, IL 61938-4637
Phone (217) 258-4042
385 N Main St
West Lebanon, NH 03784-1009
Phone (217) 258-4042
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| West Central Services, Inc | Past | Accepting new patients | |
| West Central Services, Inc. | Past | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Psychiatry | Past | Accepting new patients |
Locations
700 W Lincoln Ave
Ste 200
Charleston, IL 61920
Phone (217) 238-4866
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1005 Health Center Dr
Ste 102
Mattoon, IL 61938
Phone 21734234002414
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba SBL Physician Billing
- Family Medicine Physician
- Mattoon, IL
- NPI 1568581379
Psychiatry
-
- Case Manager/Care Coordinator
- Claremont, NH
- NPI 1013377571
-
dba West Central Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, NH
- NPI 1174635684
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1093881153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372",
"city": "MATTOON",
"state": "IL",
"postal_code": "619380372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W LINCOLN AVE STE 200",
"city": "CHARLESTON",
"state": "IL",
"postal_code": "619202468",
"telephone_number": "217-238-4866",
"fax_number": "217-258-4053"
}
],
"practiceLocations": [
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-258-4042",
"fax_number": "217-258-4053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "385 N Main St",
"address_purpose": "LOCATION",
"city": "West Lebanon",
"state": "NH",
"postal_code": "037841009",
"country_code": "US",
"telephone_number": "217-258-4042",
"fax_number": "217-258-4053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "159 Slayton Hill Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037662509",
"country_code": "US",
"telephone_number": "603-448-3761",
"fax_number": "603-448-3761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONAGH",
"first_name": "ANNMARIE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "8406",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-146788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.