Shannon L Laesch, APRN | |
2103 E Washington St Ste 2c, Bloomington, IL 61701-4365 | |
(309) 808-1450 | |
(949) 561-4829 |
Full Name | Shannon L Laesch |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 2103 E Washington St Ste 2c, 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 |
---|---|---|---|
1033559802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2200X | Clinical Nurse Specialist - Adult Health | 209010219 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Advocate Bromenn Medical Center | Normal, IL | Hospital |
Entity Name | Select Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558947283 PECOS PAC ID: 9335558691 Enrollment ID: O20210518000240 |
Mailing Address | Practice Location Address |
---|---|
Shannon L Laesch, APRN 2103 E Washington St Ste 2c, Bloomington, IL 61701-4365 Ph: (309) 808-1450 | Shannon L Laesch, APRN 2103 E Washington St Ste 2c, Bloomington, IL 61701-4365 Ph: (309) 808-1450 |
Christina Hay, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2103 E Washington St Ste D, Bloomington, IL 61701 Phone: 815-566-9915 Fax: 888-661-3051 | |
Marvis Custer, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-662-3000 Fax: 309-664-3026 | |
Audra Rushforth, Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Ms. Amanda Lyn Weed, APN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 Fax: 309-664-0969 | |
Kristin N Wilkins, APN-CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 |