Elizabeth Shallenberger, APRN is a medicare enrolled "Nurse Practitioner" in Vienna, Illinois. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Illinois Union County Hospital Inc and her current practice location is
803 N 1st St, Vienna, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 658-2811.
Elizabeth Shallenberger is licensed to practice in Illinois (license number 209018052) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104300094.
Provider's Profile
| Full Name | Elizabeth Shallenberger |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 803 N 1st St, Vienna, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elizabeth Shallenberger graduated from nursing school in 2018
NPI Data:
- NPI Number: 1104300094
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719231562
- Enrollment ID: I20190306001814
Medical Identifiers
Medical identifiers for Elizabeth Shallenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104300094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209018052 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209018052 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Deaconess Illinois Union County Hospital Inc | 3072986025 | 5 |
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. Elizabeth Shallenberger allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Missouri Hospital Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775 |
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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. Elizabeth Shallenberger 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 |
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Elizabeth Shallenberger, APRN
1520 Cedar Grove Rd,
Buncombe, IL 62912-2052
Ph: (618) 201-5926 | Elizabeth Shallenberger, APRN
803 N 1st St,
Vienna, IL 62995-1544
Ph: (618) 658-2811 |
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