Shelly Shallat, in Washington, IL

Shelly Shallat, is a medicare enrolled "Pediatrics" physician in Washington, Illinois. Her current practice location is 10 Saint Clare Ct, Washington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 886-4000.

Shelly Shallat is licensed to practice in Illinois (license number 036-101025) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184706988.

Contact Information

	Shelly Shallat,
	10 Saint Clare Ct, Washington, IL 61571-9239
	(309) 886-4000
	(309) 886-4118

Map and Direction

Physician's Profile

Full Name	Shelly Shallat
Gender	Female
Speciality	Pediatrics
Location	10 Saint Clare Ct, Washington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184706988
Provider Enumeration Date: 10/20/2006
Last Update Date: 11/11/2015

Medicare PECOS Information:

PECOS PAC ID: 6507805801
Enrollment ID: I20050426001463

Medical Identifiers

Medical identifiers for Shelly Shallat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184706988	NPI	-	NPPES
036101025	Medicaid	IL
07223454	Other	IL	BLUE CROSS
IL20810	Other	IL	BEECH STREET

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-101025 (Illinois)	Primary

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. Shelly Shallat allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Shelly Shallat 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
Shelly Shallat, 320 E Armstrong Ave, Peoria, IL 61603-3172 Ph: (309) 680-7600	Shelly Shallat, 10 Saint Clare Ct, Washington, IL 61571-9239 Ph: (309) 886-4000

Reviews and Comments

Pediatrics Doctors in Washington, IL

Jon Byler, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4101
Scott Carlson, Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4003 Fax: 309-886-4116
Kayla Marie Freeburg, APN, PNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-624-2277
Sarah Anderson Joseph, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118

Shelly Shallat, - Medicare Pediatrics in Washington, IL