State of Illinois Tier II Providers
PROVIDER DIRECTORY
State of Illinois Tier II Providers
You searched for a Physician who is a PCP in the State of Illinois Tier II Providers network within 40 mile(s) of the
61920 zip code area.
Your search returned a total of 196 result(s).
Thursday, June 02, 2011
HealthLink?, Inc., is an Illinois corporation. HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety
of payors of health benefits, including insurers, third party administrators or employers. HealthLink has no control or right of control over the professional, medical judgment
of contracted providers, and is not liable for any acts or failures to act, by contracted providers. HealthLink, Inc. is not an insurance company and has no liability for benefits
under benefit plans offered or administered by payors. HealthLink? is a registered trademark of HealthLink, Inc. and a separately incorporated and capitalized subsidiary of
WellPoint, Inc.
PARTICIPATING PROVIDERS
FAMILY PRACTICE
Antonova, Svitlana MD
Carle Clinic
200 Lema Rd S
Mattoon, IL 61938
(217) 383-3311
Provider ID Number: 962239
Panel Status: Open
Antonova, Svitlana MD
Carle Clinic
1109 N State St
Monticello, IL 61856
(217) 383-3311
Provider ID Number: 962239
Panel Status: Open
Atienza-Tennison, Eleanor U. DO
Crawford Memorial Hosp
1101 N Allen Ste 600
Robinson, IL 62454
(618) 544-3125
Provider ID Number: 374213
Gender: Female
Panel Status: Open
Bailey, Stephanie (tess) MD
Carle Clinic
1109 N State St
Monticello, IL 61856
(217) 762-2518
Provider ID Number: 511268
Gender: Female
Panel Status: Open
Bajaj, Arun R. MD
Casey Family Med Ctr
11 N Central Ave
Casey, IL 62420
(217) 932-5904
Provider ID Number: 207199
Gender: Male
Panel Status: Open
Bajaj, Arun R. MD
Central Illinois Physicians Association
Inc
735 18th St
Charleston, IL 61920
(217) 345-6582
Provider ID Number: 207199
Gender: Male
Panel Status: Open
Bajaj, Renu MD
Central Illinois Physicians Association
Inc
901 W Lincoln
Charleston, IL 61920
(217) 345-3909
Provider ID Number: 122697
Gender: Female
Panel Status: Open
Ballard, Brooke N. MD
Hospital Sisters Health System
1200 N State Hwy 121
Mt Zion, IL 62549
(217) 864-5531
Provider ID Number: 715261
Gender: Female
Panel Status: Open
Bowers, Doris MD
Ciha
207 S Pine
Shelbyville, IL 62565
(217) 774-4305
Provider ID Number: 624318
Gender: Male
Panel Status: Open
Braddy, Michelle R. MD
Mid Illinois Med Care Assoc
512 N Maple St
Effingham, IL 62401
(217) 347-7030
Provider ID Number: 930280
Gender: Female
Panel Status: Open
Brock, Gregory K. DO
Vermillion Parke Comm Health Ctr
114 N Division
Cayuga, IN 47928
(765) 492-9042
Provider ID Number: 382793
Gender: Male
Panel Status: Open
Brown, Kenneth E. MD
Hospital Sisters Health System
525 N Vine St
Arthur, IL 61911
(217) 543-4030
Provider ID Number: 623087
Gender: Male
Panel Status: Open
Brummer, Jeffrey K. DO
Family Care Assoc Of Effingham
1106 N Merchant St
Effingham, IL 62401
(217) 342-7000
Provider ID Number: 711626
Gender: Male
Panel Status: Open
Brummer, Michael G. MD
Family Care Assoc Of Effingham
1106 N Merchant St
Effingham, IL 62401
(217) 342-7000
Provider ID Number: 256472
Gender: Male
Panel Status: Open
Buechler, James R. MD
Vermillion Parke Comm Health Ctr
114 N Division
Cayuga, IN 47928
(765) 828-1003
Provider ID Number: 182486
Gender: Male
Panel Status: Open
Casey Family Med Ctr
Casey Family Med Ctr
11 N Central Ave
Casey, IL 62420
(217) 932-5904
Provider ID Number: 998082
Panel Status: Open
Catt, Lucas MD
Sarah Bush Lincoln Reg Health Ctr
1005 Health Center Dr Ste 103
Mattoon, IL 61938
(217) 258-4051
Provider ID Number: 983288
Gender: Male
Panel Status: Open
Cavanagh, Patrick J. MD
Decatur Mem Hosp
550 Southland Dr Ste 1 & 2
Decatur, IL 62521
(217) 428-4180
Provider ID Number: 395339
Gender: Male
Panel Status: Open
Clark Co Family Med Pc
Clark Co Family Med Pc
890 Ridgelawn Rd
Martinsville, IL 62442
(217) 382-4191
Provider ID Number: 976154
Panel Status: Open
Costerisan, Dennis D. DO
Hospital Sisters Health System
1200 N State Hwy 121
Mt Zion, IL 62549
(217) 864-5531
Provider ID Number: 178026
Gender: Male
Panel Status: Open
An important notice about HealthLink and the HealthLink network of participating physicians, hospitals and other health care professionals. The doctors, hospitals and other
health care professionals that are part of the network organized by HealthLink are independent contractors who exercise independent medical judgment, and over whom
HealthLink has no control or right of control. When you or a covered family member seeks care from a physician, facility or other health care professional in the HealthLink
networks, either directly or by referral from another health care professional, you are seeking care from that health care professional, not from HealthLink. Your doctor and
other health care professionals and facilities exercise independent medical judgment and should discuss treatment options with you, including options that might not be
eligible for benefits under your health plan. HealthLink is not responsible for, does not provide, and does not hold itself out as the provider of your medical care.
Every effort has been made to ensure the accuracy of this directory. Occasionally physicians and hospitals change addresses or change their participation status in the
HealthLink network program. We recommend that you verify your physician's status before receiving care. For verification, you may contact the hospital or the physician's
office, or the Customer Service number listed in this directory. Keep in mind, certain care may not be covered by your employer's health benefit plan. Carefully read the
complete plan documents provided by, or available from, your employer for all coverage details.
Page 2
PARTICIPATING PROVIDERS
FAMILY PRACTICE
Costerisan, Dennis D. DO
Two W Adams
Sullivan, IL 61951
(217) 728-7353
Provider ID Number: 178026
Gender: Male
Panel Status: Open
Costerisan, Dennis D. DO
Siu Physicians & Surgeons Inc
Two W Adams
Sullivan, IL 61951
(217) 728-7353
Provider ID Number: 178026
Gender: Male
Panel Status: Open
Crowell, Jeffrey G. MD
Family Care Assoc Of Effingham
1106 N Merchant St
Effingham, IL 62401
(217) 342-7000
Provider ID Number: 560561
Gender: Male
Panel Status: Open
Davis, David P. MD
Clark Co Family Med Pc
890 Ridgelawn Rd
Martinsville, IL 62442
(217) 382-4191
Provider ID Number: 238297
Gender: Male
Panel Status: Open
Dearnbarger, Kurt M. MD
101 W Jefferson
Sullivan, IL 61951
(217) 728-9999
Provider ID Number: 324027
Gender: Male
Panel Status: Open
Deters, Gregory J. MD
Sarah Bush Lincoln Reg Health Ctr
200 Richmond Ave Ste E
Mattoon, IL 61938
(217) 234-7011
Provider ID Number: 209170
Gender: Male
Panel Status: Open
Dimondo, John P. MD
Springfield Clinic
1770 E Lake Shore Dr Ste 105
Decatur, IL 62521
(217) 428-3424
Provider ID Number: 683752
Gender: Male
Panel Status: Open
Dorner, Matthew J. MD
Sarah Bush Lincoln Reg Health Ctr
116 W Buchanan Ave
Charleston, IL 61920
(217) 345-7700
Provider ID Number: 972340
Gender: Male
Panel Status: Open
Dorner, Matthew J. MD
Sarah Bush Lincoln Reg Health Ctr
Seven Hawthorne Ln
Charleston, IL 61920
(217) 728-8441
Provider ID Number: 972340
Gender: Male
Panel Status: Open
Duerfeldt, Todd W. DO
Good Samaritan Hosp
1404 E Main St
Robinson, IL 62454
(618) 544-8333
Provider ID Number: 694486
Gender: Male
Panel Status: Open
Dust, Glen E. MD
Illinois Heartland Physician Assn
Two W Adams
Sullivan, IL 61951
(217) 728-7353
Provider ID Number: 182358
Gender: Male
Panel Status: Open
Emenecker, Mark D. DO
116 W Buchanan Ave
Charleston, IL 61920
(217) 345-7700
Provider ID Number: 332994
Gender: Male
Panel Status: Open
Family Care Assoc Of Effingham Sc
Family Care Assoc Of Effingham
1106 N Merchant St
Effingham, IL 62401
(217) 342-7000
Provider ID Number: 325739
Panel Status: Open
Frost, Robert W. MD
300 N Maple
Effingham, IL 62401
(217) 342-4151
Provider ID Number: 387075
Gender: Male
Panel Status: Open
Fatima, Syeda MD
Sarah Bush Lincoln Reg Health Ctr
200 Richmond Ave E
Mattoon, IL 61938
(217) 234-7000
Provider ID Number: 936355
Gender: Female
Panel Status: Open
Gage, Andrew MD
Carle Foundation Hosp
200 Lerna Rd S
Mattoon, IL 61938
(217) 258-5900
Provider ID Number: 993113
Gender: Male
Panel Status: Open
Flores, Pedro MD
Carle Foundation Hosp
200 Lerna Rd S
Mattoon, IL 61938
(217) 258-5900
Provider ID Number: 886587
Gender: Male
Panel Status: Open
Gale, Bing W. MD
Vermillion Parke Comm Health Ctr
114 N Division
Cayuga, IN 47928
(765) 492-9042
Provider ID Number: 416965
Gender: Female
Panel Status: Open
Flynn, Sean F. MD
Arc Css Counseling Services
2502 S Veterans Dr
Effingham, IL 62401
(217) 347-5118
Provider ID Number: 461699
Gender: Male
Panel Status: Open
Gale, Bing W. MD
Union Hosp Inc
114 N Division St
Cayuga, IN 47928
(765) 492-9042
Provider ID Number: 416965
Gender: Female
Panel Status: Open
Flynn, Sean F. MD
Mid Illinois Med Care Assoc
512 N Maple St
Effingham, IL 62401
(217) 347-7030
Provider ID Number: 461699
Gender: Male
Panel Status: Open
Gindi, Mary Y. MD
302 N Main St
Georgetown, IL 61846
(217) 662-2282
Provider ID Number: 438240
Gender: Female
Panel Status: Open
Frost, Robert W. MD
205 N Main St
Altamont, IL 62411
(618) 483-6131
Provider ID Number: 387075
Gender: Male
Panel Status: Open
Thursday, June 02, 2011
State of Illinois Tier II Providers
Customer Service Phone Number
(800) 624-2356
Page 3
Gong, Chunling MD
John & Mary E Kirby Hosp
1109 N State St Ste A
Monticello, IL 61856
(217) 762-6320
Provider ID Number: 984468
Gender: Male
Panel Status: Open
PARTICIPATING PROVIDERS
FAMILY PRACTICE
Good, Robert G. DO
Carle Foundation Hosp
200 Lerna Rd S
Mattoon, IL 61938
(217) 258-5900
Provider ID Number: 282473
Gender: Male
Panel Status: Open
Hampton, Simone R. MD
Carle Clinic
200 Lerna Rd S
Mattoon, IL 61938
(217) 383-3311
Provider ID Number: 520217
Gender: Female
Panel Status: Open
Hampton, Simone R. MD
Carle Clinic
1109 N State St
Monticello, IL 61856
(217) 383-3311
Provider ID Number: 520217
Gender: Female
Panel Status: Open
Hanneken, Kimberley MD
Hospital Sisters Health System
1770 Lake Shore Dr Ste 207
Decatur, IL 62521
(217) 429-9700
Provider ID Number: 795660
Gender: Female
Panel Status: Open
Heim, Dennis O. MD
Springfield Clinic
1770 Lakeshore Dr Ste
Decatur, IL 62521
(217) 428-3424
Provider ID Number: 118375
Gender: Male
Panel Status: Open
Heimbrecht, Kurt J. MD
Springfield Clinic
1770 E Lake Shore Dr
Decatur, IL 62521
(217) 528-7541
Provider ID Number: 434649
Gender: Male
Panel Status: Open
Hewitt, Rebecca K. MD
Marshall Clinic
Four W Grant
Altamont, IL 62411
(618) 483-6111
Provider ID Number: 222107
Gender: Female
Panel Status: Open
Imburgia, Dominic C. MD
Consolidated Community Med Ctr
901 N Maple
Effingham, IL 62401
(217) 247-2900
Provider ID Number: 238531
Gender: Male
Panel Status: Open
Jenson, Jeffrey J. MD
Marshall Clinic
405 S Pine St
Stewardson, IL 62463
(217) 682-3373
Provider ID Number: 712689
Gender: Male
Panel Status: Open
Hewitt, Rebecca K. MD
Marshall Clinic
300 N Maple
Effingham, IL 62401
(217) 342-4151
Provider ID Number: 222107
Gender: Female
Panel Status: Open
Imburgia, Dominic C. MD
Consolidated Community Med Ctr
804 W Jourdan
Newton, IL 62448
(618) 783-4200
Provider ID Number: 238531
Gender: Male
Panel Status: Open
Knauer, Hope E. MD
Marshall Clinic
300 N Maple St
Effingham, IL 62401
(217) 342-4151
Provider ID Number: 406950
Gender: Female
Panel Status: Open
Howell, Sherri J. DO
Sarah Bush Lincoln Reg Health Ctr
241 W Springfield Rd
Arcola, IL 61910
(217) 268-4444
Provider ID Number: 341379
Gender: Female
Panel Status: Open
James, Amy C. MD
Union Hosp Inc
410 N Second St
Marshall, IL 62441
(217) 826-2361
Provider ID Number: 871788
Gender: Female
Panel Status: Open
Knauer, Hope E. MD
Marshall Clinic
607 Oak Ave
Neoga, IL 62447
(217) 895-2320
Provider ID Number: 406950
Gender: Female
Panel Status: Open
Howell, Sherri J. DO
Sarah Bush Lincoln Reg Health Ctr
168 Courthouse Sq
Toledo, IL 62468
(217) 849-3151
Provider ID Number: 341379
Gender: Female
Panel Status: Open
Jenson, Jeffrey J. MD
Marshall Clinic
300 N Maple St
Effingham, IL 62401
(217) 342-4151
Provider ID Number: 712689
Gender: Male
Panel Status: Open
Kremer, Marlene B. MD
Sarah Bush Lincoln Reg Health Ctr
200 Richmond Ave E
Mattoon, IL 61938
(217) 234-7000
Provider ID Number: 335299
Gender: Female
Panel Status: Open
Hughes, Christopher R. MD
Advocate Phys Partners
911 S Chestnut
Longview, IL 61852
(309) 962-2081
Provider ID Number: 463233
Gender: Male
Panel Status: Open
Jenson, Jeffrey J. MD
Marshall Clinic
223 E Sixth St
Neoga, IL 62447
(217) 895-2320
Provider ID Number: 712689
Gender: Male
Panel Status: Open
Lim, Dinnie C. MD
Terre Haute Regional Health Plan Pho
230 S High St
Paris, IL 61944
(217) 463-5412
Provider ID Number: 258175
Gender: Female
Panel Status: Open
Imburgia, Dominic C. MD
Consolidated Community Med Ctr
Six W Alabama
Casey, IL 62420
(217) 932-2626
Provider ID Number: 238531
Gender: Male
Panel Status: Open
Jenson, Jeffrey J. MD
Marshall Clinic
507 W Washington
Newton, IL 62448
(618) 783-5094
Provider ID Number: 712689
Gender: Male
Panel Status: Open
Lystila, Aja MD
Carle Foundation Hosp
200 Lerna Rd S
Mattoon, IL 61938
(217) 258-5900
Provider ID Number: 929792
Gender: Female
Panel Status: Open
Thursday, June 02, 2011
State of Illinois Tier II Providers
Customer Service Phone Number
(800) 624-2356
Page 4
PARTICIPATING PROVIDERS
FAMILY PRACTICE
Manint, James E. DO
John & Mary E Kirby Hosp
1109 N State St Ste A
Monticello, IL 61856
(217) 762-6241
Provider ID Number: 193923
Gender: Male
Panel Status: Open
Mantell, Susan K. MD
501 N Lincoln
Philo, IL 61864
(217) 684-2419
Provider ID Number: 718574
Gender: Female
Panel Status: Open
Marty, Anne C. MD
Carle Clinic
1109 N State St
Monticello, IL 61856
(217) 762-2518
Provider ID Number: 139354
Gender: Female
Panel Status: Open
Mccormack, Anthony T. MD
Decatur Mem Hosp
550 Southland Dr Ste 1 & 2
Decatur, IL 62521
(217) 428-4180
Provider ID Number: 250374
Gender: Male
Panel Status: Open
Mcneill, Leland E. MD
Central Illinois Physicians Association
Inc
506 W Lincoln Ave Ste 200 A B
Charleston, IL 61920
(217) 348-8727
Provider ID Number: 115467
Gender: Male
Panel Status: Open
Merkel, John U. MD
Mid Illinois Med Care Assoc
206 N Pearl St
Teutopolis, IL 62467
(217) 857-6481
Provider ID Number: 105492
Gender: Male
Panel Status: Open
Mikel, Gary M. MD
Sarah Bush Lincoln Reg Health Ctr
412 Nw Third St
Casey, IL 62420
(217) 932-4061
Provider ID Number: 293597
Gender: Male
Panel Status: Open
Mikel, Gary M. MD
Sarah Bush Lincoln Reg Health Ctr
200 Richmond Ave E
Mattoon, IL 61938
(217) 234-7000
Provider ID Number: 293597
Gender: Male
Panel Status: Open
Miller, Brent E. MD
Sarah Bush Lincoln Reg Health Ctr
126 S Locus
Arcola, IL 61910
(217) 268-4444
Provider ID Number: 760660
Gender: Male
Panel Status: Open
Muneses, Marlon T. MD
Hospital Sisters Health System
1700 E Lake Shore Dr Ste 207
Decatur, IL 62521
(217) 429-9700
Provider ID Number: 384581
Gender: Male
Panel Status: Open
Muneses, Marlon T. MD
Ciha
1770 E Lakeshore Dr Ste 207
Decatur, IL 62521
(217) 429-2600
Provider ID Number: 384581
Gender: Male
Panel Status: Open
Oligschlaeger, David M. DO
Ciha
201 S Cedar
Shelbyville, IL 62565
(217) 774-7883
Provider ID Number: 412000
Gender: Male
Panel Status: Open
Oltman, Paul D. MD
900 W Temple Ste 204
Effingham, IL 62401
(217) 347-7776
Provider ID Number: 104128
Gender: Male
Panel Status: Open
Opilka, John P. DO
Mid Illinois Med Care Assoc
Eight N Third St
Altamont, IL 62411
(618) 483-6151
Provider ID Number: 412343
Gender: Male
Panel Status: Open
Phillippe, Michael G. MD
Crawford Memorial Hosp
1101 N Allen Ste 200
Robinson, IL 62454
(618) 544-3699
Provider ID Number: 106211
Gender: Male
Panel Status: Open
Phillippe, Michael G. MD
Crawford Memorial Hosp
1108 N Allen St
Robinson, IL 62454
(618) 544-3699
Provider ID Number: 106211
Gender: Male
Panel Status: Open
Phipps, Leland MD
Paris Community Hosp
727 E Court St
Paris, IL 61944
(217) 465-8411
Provider ID Number: 180041
Gender: Male
Panel Status: Open
Pine-Mattas, Denise MD
Union Hosp Inc
410 N Second St
Marshall, IL 62441
(217) 826-2361
Provider ID Number: 768665
Gender: Female
Panel Status: Open
Thursday, June 02, 2011
State of Illinois Tier II Providers
Customer Service Phone Number
(800) 624-2356
Page 5
Rademacher, Dennis J. MD
Springfield Clinic
1770 E Lakeshore Dr Ste 105
Decatur, IL 62521
(217) 528-7541
Provider ID Number: 117526
Gender: Male
Panel Status: Open
Richards, John J. MD
Clark Co Family Med Pc
890 Ridgelawn Rd
Martinsville, IL 62442
(217) 382-4191
Provider ID Number: 981563
Gender: Male
Panel Status: Open
Roberts, Nathan MD
Carle Clinic
301 E Southline Rd
Tuscola, IL 61953
(217) 253-5231
Provider ID Number: 462112
Gender: Male
Panel Status: Open
Rohde, Thomas W. MD
Ciha
3798 E Fulton Ave
Decatur, IL 62521
(217) 864-2700
Provider ID Number: 146083
Gender: Male
Panel Status: Open
Runde, Charles W. MD
Mid Illinois Med Care Assoc
206 N Pearl St
Teutopolis, IL 62467
(217) 857-6481
Provider ID Number: 246811
Gender: Male
Panel Status: Open
Scott, Mark D. MD
St Mary'S Hospital-Decatur
525 N Vine St
Arthur, IL 61911
(217) 543-4030
Provider ID Number: 249716
Gender: Male
Panel Status: Open
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