Penelope Shields, NP | |
1005 Health Center Dr Ste 102, Mattoon, IL 61938-4693 | |
(217) 258-4042 | |
(217) 258-4053 |
Full Name | Penelope Shields |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1005 Health Center Dr Ste 102, Mattoon, 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 |
---|---|---|---|
1033508478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209012444 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209-012444 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sarah Bush Lincoln Health Center | 5092614867 | 327 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
---|---|
Penelope Shields, NP Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Penelope Shields, NP 1005 Health Center Dr Ste 102, Mattoon, IL 61938-4693 Ph: (217) 258-4042 |
Diana L. Oakley, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Health Center Dr Ste 104, Mattoon, IL 61938 Phone: 217-258-2178 Fax: 217-258-4024 | |
Emily N Hardiek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2512 Hurst Dr Ste 130, Mattoon, IL 61938 Phone: 217-258-5900 Fax: 217-258-3686 | |
Robert C Atchley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2551 | |
Loring Barr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2409 Fax: 217-258-2323 | |
Mrs. Stacey Tebbe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Coles Centre Dr, Mattoon, IL 61938 Phone: 217-234-5110 | |
Tonya Sue White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-3370 |