Shilpa Mehta, | |
1505 Eastland Dr, Bloomington, IL 61701-3534 | |
(309) 663-2100 | |
(309) 663-8322 |
Full Name | Shilpa Mehta |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 1505 Eastland Dr, Bloomington, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174616411 | NPI | - | NPPES |
833120 | Medicaid | IL | |
036110523 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-110523 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Bromenn Medical Center | 8921429499 | 4 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Entity Name | Carle Bromenn Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187 |
Mailing Address | Practice Location Address |
---|---|
Shilpa Mehta, 1505 Eastland Dr, Bloomington, IL 61701-3534 Ph: (309) 663-2100 | Shilpa Mehta, 1505 Eastland Dr, Bloomington, IL 61701-3534 Ph: (309) 663-2100 |
Dr. Justin James Holschbach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 308 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Jermy Enrique Crespo Gonzalez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 East Washington Street, Bloomington, IL 61701 Phone: 309-665-5996 | |
Stephen Belgrave, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 | |
Daniel Marley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3170 | |
Mfowethu Theophilus Langeni, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 210 Saint Joseph Dr, Bloomington, IL 61701 Phone: 309-663-5050 Fax: 309-662-3401 | |
Kenneth Wayne Birge Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2502 E Empire St, Bloomington, IL 61704 Phone: 309-300-1031 |