Active NPI
Christine Marie Lucas, M.D.
- Family Medicine Physician
- Anna, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-099486
- Practice address
- 513 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-4471
- Fax
- (618) 833-6267
- NPI assigned
- Jul 13, 2005
- Reactivated
- May 1, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-099486 | IL | Primary |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1668
Mailing address
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Other practice location 1
400 S Broadway
Goreville, IL 62939-2484
Phone (618) 995-1002
Other practice location 2
1003 E 5th St
Metropolis, IL 62960-2311
Phone (618) 527-7499
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036099486 | Other | IL | IDPA FEE FOR SERVICE |
| 048870 | Other | IL | HEALTH ALLIANCE |
| 415518 | Other | IL | HEALTHLINK |
| G96923 | Other | IL | TRICARE |
| G96923 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036-099486 | Medicaid | IL | |
| G96923 | Other | IL | UNITED HEALTHCARE RR MEDI |
| G96923 | Other | IL | CHAMPVA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
513 N Main St
Anna, IL 62906-1668
Phone (618) 833-4471
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- Hospice of Southern Illinois, Inc
- Deaconess Illinois Union County
- Memorial Hospital of Carbondale
- Saint Francis Medical Center
- Heartland Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099486 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite City Hospitalist Services LLC | Current | Accepting new patients | |
| Rural Health, Inc. | Current | Accepting new patients | |
| Rural Health, Inc. | Current | Accepting new patients | |
| Rural Health, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Rural Health, Inc. | Past | Accepting new patients |
Locations
513 N Main St
Anna, IL 62906
Phone (618) 833-4471
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
211 N Broadway
Goreville, IL 62939
Phone (618) 995-1002
400 S Broadway
Goreville, IL 62939
Phone (618) 995-1002
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
1003 E 5th St
Metropolis, IL 62960
Phone (618) 524-3661
Interoperability endpoints
- christine.lucas.1@7601.direct.athenahealth.com
- clucas@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Anna, IL
- NPI 1982666384
-
- Hospitalist Physician
- Carbondale, IL
- NPI 1669926424
-
dba Dongola Medical Clinic
- Federally Qualified Health Center (FQHC)
- Dongola, IL
- NPI 1366506628
-
dba Vienna Medical Clinic
- Federally Qualified Health Center (FQHC)
- Vienna, IL
- NPI 1932263332
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Union County
- Critical Access Hospital
- Anna, IL
- NPI 1710604483
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Community Based Hospice Care Agency
- Belleville, IL
- NPI 1720081805
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346248374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4471",
"fax_number": "618-833-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-4471",
"fax_number": "618-833-6267"
}
],
"practiceLocations": [
{
"address_1": "400 S Broadway",
"address_purpose": "LOCATION",
"city": "Goreville",
"state": "IL",
"postal_code": "629392484",
"country_code": "US",
"telephone_number": "618-995-1002",
"fax_number": "618-995-1133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1003 E 5th St",
"address_purpose": "LOCATION",
"city": "Metropolis",
"state": "IL",
"postal_code": "629602311",
"country_code": "US",
"telephone_number": "618-527-7499",
"fax_number": "618-833-6267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2022-07-21",
"deactivation_date": "2006-03-31",
"reactivation_date": "2006-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-099486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDPA FEE FOR SERVICE",
"identifier": "036099486",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "048870",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "415518",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "G96923",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G96923",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-099486",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE RR MEDI",
"identifier": "G96923",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPVA",
"identifier": "G96923",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.