| Shannon L Feldman, APRN | |
|
2103 E Washington St Ste 2c, Bloomington, IL 61701-4365 | |
| (309) 808-1450 | |
| (949) 561-4829 |
| Full Name | Shannon L Feldman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 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 | 277000027 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gibson Community Hospital | Gibson city, IL | Hospital |
| Carle Bromenn Medical Center | Normal, IL | Hospital |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gibson Community Hospital Association | 5092703124 | 159 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293 |
| Entity Name | Gibson Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20071116000131 |
| Entity Name | Select Care PLLC |
|---|---|
| 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 Feldman, APRN 2103 E Washington St Ste 2c, Bloomington, IL 61701-4365 Ph: (309) 808-1450 | Shannon L Feldman, 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: Accepting Medicare Assignments 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 |