Beth Marie Agan, PA-C
Individual provider Active NPI Physician Assistant · Mt. Carmel, IL
NPI 1295200319 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1295200319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1527 College Dr.
Mt. Carmel, IL 62863 - Phone
- (618) 263-6400
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wabash General Hospital District
Practice addresses (Care Compare)
11362 Country Club Rd
Lawrenceville, IL 62439-4325
Phone (618) 707-4360
1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621
929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 508-8020
Hospital & facility affiliations
- Wabash General Hospital 1
- Clay County Hospital
- Fairfield Memorial Hospital 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181227002429 | IL | Practitioner - Physician Assistant | 9931444619 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wabash General Hospital District | Current |
Accepting new patients | |
| Wabash General Hospital District | Current |
Accepting new patients | |
| Wabash General Hospital District | Current |
Accepting new patients |
Locations
209 NW 11th St
Fairfield, IL 62837
Phone 61872424011624
929 Stacey Burk Dr
Flora, IL 62839
11362 Country Club Rd
Lawrenceville, IL 62439
Phone (618) 707-4360
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
1525 College Dr
Mount Carmel, IL 62863
Phone (618) 263-6343
504 Micah Dr
Olney, IL 62450
Phone (618) 395-4306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1527 College Dr.
Mt. Carmel, IL 62863
Mailing address
1349 W Chukar Holw
Haubstadt, IN 47639-8684
Phone (812) 598-4858
Other providers in Mt. Carmel, IL
- Acorn Estates LLC
- Rachelle Adams
- Addus Healthcare, Inc.
- Alka Family Chiropractic, PC
- Kay Lynn Alka
- Kallie Elizabeth Allender
- Jason Mathias Ambrose
- John S Barbee
All providers in Mt. Carmel, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.