Mr Daniel Andrew Selock, MS/CADC/LCPC is a medicare enrolled "Counselor - Professional" provider in Goreville, Illinois. He graduated from healthcare school in 2005 and has 21 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
70 Sandy Pt, Goreville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 889-3987.
Mr Daniel Andrew Selock is licensed to practice in Illinois (license number 180006639) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891872362.
Healthcare Provider's Profile
| Full Name | Mr Daniel Andrew Selock |
|---|
| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 21 Years |
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| Location | 70 Sandy Pt, Goreville, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Daniel Andrew Selock graduated from medical school in 2005
NPI Data:
- NPI Number: 1891872362
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 12/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335625441
- Enrollment ID: I20260108002064
Medical Identifiers
Medical identifiers for Mr Daniel Andrew Selock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891872362 | NPI | - | NPPES |
| 180006639 | Other | IL | STATE LICENSE, LCPC |
| 03932079 | Other | IL | BLUE CROSS BLUE SHIELD |
| 11826508 | Other | IL | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 180006639 (Illinois) | Primary |
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. Mr Daniel Andrew Selock 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 |
|---|
Mr Daniel Andrew Selock, MS/CADC/LCPC
70 Sandy Pt,
Goreville, IL 62939-3122
Ph: (618) 889-3987 | Mr Daniel Andrew Selock, MS/CADC/LCPC
70 Sandy Pt,
Goreville, IL 62939-3122
Ph: (618) 889-3987 |
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