Individual provider Active NPI

Philip I Woerner, MD

  • Psychiatry Physician
  • Mt Sterling, IL
National Provider Identifier
1952521791
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036041485 Issued in IL
Practice address
700 SE Cross
Mental Health Centers of Western Illinois
Mt Sterling, IL 62353
Phone
(217) 773-3325
Fax
(217) 773-2425
NPI assigned
Apr 26, 2007
Last updated
May 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036041485 IL Primary

Addresses

Primary practice location

700 SE Cross
Mental Health Centers of Western Illinois
Mt Sterling, IL 62353

Mailing address

238 Heatherstone Dr
Chatham, IL 62629-8697
Phone (217) 546-3717

Other identifiers 2

IdentifierTypeStateIssuer
336009909OtherILCONT SUBSTANCE
036041485OtherILMEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000853 IL Practitioner - Psychiatry 6709849383 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Mental Health AssocGroup PAC ID 3375796220, 2 clinicians
Schuyler County Mental Health AssociationGroup PAC ID 8820175995, 4 clinicians

Practice addresses (Care Compare)

121 E 2ND St
Suite 1
Beardstown, IL 62618-1263
Phone (217) 323-2980

127 S Liberty St
Rushville, IL 62681-1419
Phone (217) 322-4373

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Mental Health Association CurrentSince Mar 15, 2019 Accepting new patients
Mental Health Centers of Western Illinois CurrentSince Jan 1, 1999 Accepting new patients
Cass County Mental Health Assoc CurrentSince Aug 23, 2012 Accepting new patients

Locations

121 E 2nd St
Beardstown, IL 62618
Phone (217) 323-2980

121 E 2nd St
Ste 1
Beardstown, IL 62618
Phone (217) 323-2980

607 Buchanan St
Carthage, IL 62321
Phone (217) 357-3176

700 SE Cross St
Mt Sterling, IL 62353

127 S Liberty St
Rushville, IL 62681
Phone (217) 322-0473

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1952521791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 HEATHERSTONE DR",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298697",
            "telephone_number": "217-546-3717",
            "fax_number": "217-773-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE CROSS",
            "address_2": "MENTAL HEALTH CENTERS OF WESTERN ILLINOIS",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "62353",
            "telephone_number": "217-773-3325",
            "fax_number": "217-773-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERNER",
        "first_name": "PHILIP",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036041485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONT SUBSTANCE",
            "identifier": "336009909",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036041485",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, IL

Sources for this page

Verify at the official NPI Registry.