Prairie Trail Family Medicine Sc - Medicare Primary Care in Warrenville, IL

Prairie Trail Family Medicine Sc is a medicare enrolled primary clinic (Family Medicine) in Warrenville, Illinois. The current practice location for Prairie Trail Family Medicine Sc is 2s661 Angeline Ct, Warrenville, Illinois. For appointments, you can reach them via phone at (630) 341-1246. The mailing address for Prairie Trail Family Medicine Sc is 2s661 Angeline Ct, Warrenville, Illinois and phone number is (630) 341-1246.

Prairie Trail Family Medicine Sc is licensed to practice in Illinois (license number 042006514). The clinic also participates in the medicare program and its NPI number is 1003031352. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (630) 341-1246.

Contact Information

Prairie Trail Family Medicine Sc
2s661 Angeline Ct
Warrenville
IL 60555-1301
(630) 341-1246
(630) 489-9652

Primary Care Clinic Profile

Full NamePrairie Trail Family Medicine Sc
SpecialityFamily Medicine
Location2s661 Angeline Ct, Warrenville, Illinois
Authorized Official Name and PositionPauline N Harding (PRESIDENT)
Authorized Official Contact6303411246
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prairie Trail Family Medicine Sc
2s661 Angeline Ct
Warrenville
IL 60555-1301

Ph: (630) 341-1246
Prairie Trail Family Medicine Sc
2s661 Angeline Ct
Warrenville
IL 60555-1301

Ph: (630) 341-1246

NPI Details:

NPI Number1003031352
Provider Enumeration Date04/13/2007
Last Update Date02/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3476965534
Medicare Enrollment IDO20201214001914

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Medical Identifiers

Medical identifiers for Prairie Trail Family Medicine Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003031352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 042006514 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prairie Trail Family Medicine Sc acts as a billing entity for following providers:
Provider NamePauline N Harding
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003851692
PECOS PAC ID: 1153470703
Enrollment ID: I20090601000411

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