Shelly Lynn Todd, APRN,CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Stronghurst, Illinois. Her current practice location is
115 N Elizabeth St, Stronghurst Il 61480, Stronghurst, Illinois. You can reach out to her office (for appointments etc.) via phone at
(121) 735-7777.
Shelly Lynn Todd is licensed to practice in Illinois (license number 209025413) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588399240.
Physician's Profile
Full Name | Shelly Lynn Todd |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 115 N Elizabeth St, Stronghurst, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588399240
- Provider Enumeration Date: 07/18/2022
- Last Update Date: 07/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345626917
- Enrollment ID: I20221005001006
Medical Identifiers
Medical identifiers for Shelly Lynn Todd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588399240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 209.025413 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209025413 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelly Lynn Todd allows following entities to bill medicare on her behalf.
Entity Name | Qv Urgent Care Ia Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1407465917 PECOS PAC ID: 1052722147 Enrollment ID: O20201120001496 |
---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Lynn Todd is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shelly Lynn Todd, APRN,CNP 115 N Elizabeth St, Stronghurst Il 61480, Stronghurst, IL 61480 Ph: (121) 357-7777 | Shelly Lynn Todd, APRN,CNP 115 N Elizabeth St, Stronghurst Il 61480, Stronghurst, IL 61480 Ph: (121) 735-7777 |
Reviews and Comments