DR. DEEDRA GAIL MCLAIN M.D.
NPI 1770635062
General Practice in Carbondale, IL

Q: What is Deedra Mclain's NPI number?

The NPI number for Deedra Mclain is 1770635062. It was assigned to this individual provider in the NPPES registry on January 17, 2007. The provider is also known as Deedra G Corzart.

Q: What is Deedra Mclain's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Deedra Mclain was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment

300 W OAK ST, CARBONDALE, IL 62901(618) 536-6621 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 28, 2020, Jul 7, 2020, Jun 29, 2020 and 1 more (4 updates tracked since 2020).

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About Dr. Deedra Gail Mclain M.d. NPPES

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

DR. DEEDRA GAIL MCLAIN M.D. (NPI 1770635062) is an individual general practice provider in Carbondale, Illinois, licensed in Illinois (036107216) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains a secondary practice location in West Frankfort.

NPPES Registry Identity

NPI1770635062

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. DEEDRA GAIL MCLAINCredential: M.D.

Location Address300 W OAK STCarbondale, IL 62901-1400

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-3787

Phone(618) 536-6621

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2002

Enumeration DateJanuary 17, 2007

Last NPPES UpdateDecember 28, 20204 updates tracked since enumeration

NPPES CertifiedDecember 28, 2020

✔ NPI 1770635062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 036107216

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036107216 (IL)

300 W OAK ST, Carbondale, IL 62901

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Other Names 1

Former Name (1)Deedra G Corzart

Secondary Practice Location 1

Location 12553 Ken Gray BlvdWest Frankfort, IL 62896-4174 · Phone (618) 932-3937 · Fax (618) 932-2734

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

Dr. Deedra Gail Mclain M.d. 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 ID9234315029

PECOS Enrollment IDI20110511000733

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 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

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

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims6,336 services$0.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers14 claims14 services$19.22 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$51.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers14 claims14 services$106.63 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 20

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

JOELI GEBHART PAC

Physician Assistant