ANGIE M EUBANKS PAC
NPI 1306800396
Physician Assistant in Pinckneyville, IL

Q: What is Angie Eubanks's NPI number?

The NPI number for Angie Eubanks is 1306800396. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is Angie Eubanks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Angie Eubanks was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274(618) 357-2131(618) 357-8844 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2023, Dec 30, 2020, Jan 26, 2016 (3 updates tracked since 2016).

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About Angie M Eubanks Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE M EUBANKS PAC (NPI 1306800396) is an individual physician assistant in Pinckneyville, Illinois, licensed in Illinois (085-000595) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1306800396

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGIE M EUBANKSCredential: PAC

Location Address5383 STATE ROUTE 154Pinckneyville, IL 62274-3342

Mailing Address5383 State Route 154Pinckneyville, IL 62274-3342 · (618) 357-2131 · Fax (618) 357-8844

Phone(618) 357-2131

Fax(618) 357-8844

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateApril 14, 2006

Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1306800396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085-000595

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5383 STATE ROUTE 154, Pinckneyville, IL 62274

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Other Identifiers 4

Other342557IL · Healthlink

Other970020589IL · Medicare Railroad

Other07320380IL · Bcbs

Medicaid376006955007IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angie M Eubanks Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830413798

PECOS Enrollment IDI20150123001429

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141307

Location5383 State Route 154Pinckneyville, IL 62274 · Perry County

Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141331

Location900 North Washington StreetDu Quoin, IL 62832 · Perry County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers15 claims15 services$55.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINCKNEYVILLE COMMUNITY HOSPITAL

Pharmacy