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Cairo and Alexander County

Illinois · Video visits statewide

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Care that fits your life

Telehealth care in Cairo and Alexander County, Illinois.

Wade’s Care First sees Cairo and Alexander County patients by secure video for primary care, mental health, ADHD, weight management, urgent care and more. Labs, imaging and prescriptions go to facilities in and around Cairo and Alexander County.

Telehealth only. No office in Cairo and Alexander County: you join from wherever you are in Illinois. Pricing · Insurance Accepted

Services

What Cairo and Alexander County patients book.

Every service is available statewide by video. Each page explains what can and cannot be handled remotely.

A clinician reviewing information on a tablet at her deskYour ongoing Primary Care Provider

Primary Care

Acute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.

Blood pressure screening during Preventive CareScreenings for your age and risk

Preventive Care

Screenings, labs and risk checks chosen for your age, history and family history.

Two women having a supportive conversation in a comfortable roomEvaluation and treatment

Mental Health

Anxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.

A woman at a desk with stacks of paperwork holding her templesAdults and teens

ADHD

Evaluation and follow-up for attention, focus and executive-function concerns.

Hands chopping fresh herbs on a cutting boardMedication with a plan around it

Medical Weight Management

A workup first, then nutrition, lab monitoring and medication when it fits.

A person at home with cold symptomsSick visits

Urgent Care

Sinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.

A clinician and patient reviewing skin images on a tabletSkin concerns by video

Dermatology

Acne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.

Illustration of a patient discussing knee discomfort by videoStrains, sprains and flare-ups

Short-Term Pain Management

Back and neck pain, sprains, joint flares and headaches over a short course of care.

An adult man outdoorsHormones, prostate and screening

Men’s Health

ED, testosterone testing, prostate health, PSA and the screenings men tend to skip.

A patient and clinician review health information on a tabletEvery stage

Women’s Health

Periods, birth control, perimenopause, menopause and the questions in between.

The original group photograph of smiling childrenAges 5 and up

Pediatric Care

Video visits for the things that keep a kid home from school.

Older adults sharing a meal and conversation around a tableOlder adults and their families

Geriatric Care

Medication review, chronic conditions and coordination with everyone involved.

A woman lying awake in bed beside an alarm clockPart of your primary care

Sleep Concerns

Insomnia, snoring, sleep apnea screening and sleep-study coordination.

Laboratory scientist working with a pipette beside a microscope and computerPharmacogenomic testing

GeneSight® Testing

A cheek swab that adds genetic information to mental-health medication decisions.

Booking & Insurance

Plan your video visit.

Start with the care you need. We’ll guide you through the visit details and available times.

  1. Choose your visit

    Select your service and whether you are a new or established patient.

  2. Choose how to pay

    Select insurance or self-pay. Review the accepted plans and posted prices before continuing.

  3. Find an available time

    Confirm where you will be during the visit and your timezone, then review your appointment details.

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More Than a Video Visit

Your care doesn’t end when the video visit ends.

Wade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.

How It Works
  1. 1VisitSecure video from your phone or laptop
  2. 2TestingLabs and imaging ordered near you
  3. 3ResultsReviewed and explained with you
  4. 4TreatmentPrescriptions and a plan you helped build
  5. 5ReferralSpecialists and in-person care when needed
  6. 6Follow-upContinued care with the same provider

Laboratory testing

Blood work, urine tests, hormone and PSA testing, completed at a lab near you.

Diagnostic imaging

X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.

Additional testing

Testing matched to your symptoms, history and plan, including sleep studies when indicated.

Equipment and supplies

Orders for durable medical equipment and supplies when medically necessary.

Specialist referrals

Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.

Prescription management

Prescribing and adjusting medications when clinically appropriate and allowed by law.

Results and follow-up

Every result reviewed with you, explained, and turned into a next step.

GeneSight® Testing

Pharmacogenomic information that may help inform mental-health medication decisions.

Care coordination

Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.

Telehealth when appropriate. In-person services when needed. Coordinated care throughout.

Book a VisitHow It Works
Orders go local

Labs, imaging and pharmacies near Cairo and Alexander County.

CHESI lists Cairo Diagnostic Center at 13289 Kessler Road with laboratory and radiology services. Southern Seven Health Department also lists blood laboratory draws. Confirm the requested test, outside-order acceptance, hours and coverage with the selected facility.

Blood work

CHESI lists Cairo Diagnostic Center at 13289 Kessler Road with laboratory and radiology services. Southern Seven Health Department also lists blood laboratory draws. Confirm the requested test, outside-order acceptance, hours and coverage with the selected facility.

Imaging

CHESI lists Cairo Diagnostic Center at 13289 Kessler Road and provides diagnostic services including laboratory testing and radiology. Confirm the ordered service directly with CHESI.

Pharmacies

Walgreens has no store in Cairo (Walgreens Illinois store list).

Before you go, confirm the requested test, outside-order acceptance, insurance, collection fees and hours with the facility. These resources are examples, not a complete directory. Quest Location Finder · Labcorp Location Finder.

Patient Questions

Cairo and Alexander County questions.

All Patient Questions
Does Wade’s Care First have an office in Cairo and Alexander County?

No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in Illinois, and Charles Wade, FNP-BC is licensed to treat you while you are in the state. Anything that needs hands-on care is coordinated with facilities in and around Cairo and Alexander County, such as None in Alexander County: Cairo’s hospital closed in December 1986. Nearest verified emergency departments: Memorial Hospital of Carbondale (SIH), Carbondale, about 53 miles north and Mercy Hospital Southeast (formerly Southeast Hospital), 1701 Lacey St., Cape Girardeau, Missouri (emergency room; Cape Girardeau Regional Airport is about 26 miles from Cairo).

Where will I go for blood work if I live in Cairo and Alexander County?

CHESI lists Cairo Diagnostic Center at 13289 Kessler Road with laboratory and radiology services. Southern Seven Health Department also lists blood laboratory draws. Confirm the requested test, outside-order acceptance, hours and coverage with the selected facility.

Which Cairo and Alexander County hospitals have an emergency department?

For emergencies call 911. Regional emergency departments include Deaconess Illinois Union County Hospital in Anna, with a 24-hour ER at 517 North Main Street, and hospitals in Cape Girardeau and Carbondale. Emergency services can determine the appropriate destination.

Are there community health centers in Cairo and Alexander County for in-person care?

Community Health & Emergency Services (CHESI) lists Cairo Megaclinic at 13245 Kessler Road and Cairo Diagnostic Center at 13289 Kessler Road. CHESI lists laboratory and radiology services; confirm the specific test, order acceptance, hours and coverage before visiting. Ask the clinic about appointments and financial assistance.

Can I use Illinois Medicaid or other insurance for a telehealth visit from Cairo and Alexander County?

Many plans are accepted and benefits are verified before your visit. BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, Illinois Medicaid, Meridian Health Plan of Illinois, Aetna Better Health of Illinois, TRICARE. Illinois Medicaid is run by the Illinois Department of Healthcare and Family Services (HFS). Most members are enrolled in HealthChoice Illinois, the statewide managed care program; HFS says members have at least four health plans to choose from depending on where they live, and about 2.4 million of roughly 3.1 million Illinois Medicaid enrollees are in a HealthChoice Illinois plan. HFS lists these HealthChoice Illinois plans: Aetna Better Health of Illinois; Blue Cross Community Health Plan (Blue Cross and Blue Shield of Illinois, the largest MCO with about 700,000 members); CountyCare Health Plan (Cook County only, operated by Cook County Health); Meridian Health Plan (Meridian also runs YouthCare for former youth in care); and Molina Healthcare. In June 2026 HFS announced new HealthChoice Illinois contracts starting January 1, 2027 with six MCOs: Aetna Better Health of Illinois, Blue Cross and Blue Shield of Illinois, Humana, Meridian, Molina Healthcare, and CountyCare for Cook County. Current contracts run through December 31, 2026, so plan options may change at the start of 2027. Coverage varies by plan, and self-pay pricing is posted if your plan is not accepted.

Is Cairo and Alexander County a health professional shortage area?

Geographic primary care HPSA for all of Alexander County (designated Sept 2025, score 21, partially rural); Southern IL MHCA mental health geographic HPSA (designated Oct 2025); Alexander County MUA (since 1978). Telehealth can complement local clinicians by offering another way to access primary care, mental health and medication follow-up while you keep your local relationships.

Can orders be sent to a laboratory or imaging facility near me?

When clinically appropriate, we can send orders to a laboratory or imaging facility you choose. Confirm that the location performs the requested test, accepts the order and participates in your insurance network. Availability and travel distance vary by community.

Good to know

Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.

Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.

Magnolia Manor’s red brick tower, ornate white trim, and garden in Cairo.
A local landmark

Magnolia Manor

Magnolia Manor, a historic home in Cairo, Alexander County.

Photo: w_lemay · Source · CC BY-SA 2.0. Resized for display.

Rural community · Alexander County

Getting care in Cairo and Alexander County

Illinois’s southernmost county at the Ohio-Mississippi confluence; county seat Cairo; the steepest population loss of any U.S. county 2010-2020 and no hospital since 1986.

Alexander County, at the southern tip of Illinois, has about 4,900 residents, and more than a quarter are 65 or older. Cairo’s hospital closed in 1986 and was never replaced. HRSA designated the whole county a geographic primary care shortage area in September 2025 with a score of 21, placed it in a mental health shortage area in October 2025, and has listed it as a Medically Underserved Area since 1978.

The state public aid office in Cairo closed, and the town has struggled to keep a grocery store open. A video visit with Charles Wade, FNP-BC, brings primary care, mental health, ADHD, weight and sleep care to your phone, with orders sent to facilities you can actually reach.

Access in Alexander County

HRSA designated all of Alexander County a geographic primary care Health Professional Shortage Area on September 11, 2025 with a score of 21, placed it in the Southern IL mental health geographic HPSA (October 2025), and has listed the Alexander County MUA since 1978. Cairo’s hospital closed in 1986; the state closed Cairo’s public aid office, sending residents to Mounds in Pulaski County; the Delta Center behavioral health provider closed during the state budget impasse before reopening under new ownership; the town’s only grocery closed in 2015, a replacement opened in 2023 and closed in 2025; federal public housing (Elmwood and McBride) was closed and demolished from 2017-2019. The county is aging (26.2% aged 65+) and deaths outpace births.

Who this helps most in Cairo and Alexander County

Telehealth helps most for Alexander County residents who would otherwise drive an hour each way for a routine visit: older adults managing blood pressure, diabetes or arthritis pain, people needing mental health or ADHD follow-up, and families with children five and older who need a sick visit. Community Health & Emergency Services clinics and the Southern Seven county clinic remain your in-person options for exams and vaccines.

Do not rely on video for chest pain, stroke symptoms, severe bleeding or breathing trouble; call 911, because the nearest emergency departments are in Carbondale or Cape Girardeau. You will need a phone signal or home internet for a video visit; if yours is unreliable, ask about a phone-only option.

Local health considerations

  • Older population: 26.2% of residents were 65 or older in 2024 versus 17.9% statewide, and the county’s population decline is driven by deaths outpacing births.
  • Poverty: about 19% of residents lived below the poverty line in 2024 (ACS).
  • Loss of local services: Cairo’s hospital closed in 1986; the grocery store that opened in 2023 closed in 2025; the state public aid office closed.
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