Shannon R Lane, FNP-C | |
1960 Freedom Pkwy, Washington, IL 61571-9468 | |
(309) 745-7425 | |
Not Available |
Full Name | Shannon R Lane |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1960 Freedom Pkwy, Washington, 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 |
---|---|---|---|
1316477326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.016035 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1543 |
Wellnow Urgent Care, P.c. | 8325320864 | 408 |
Entity Name | Physicians Immediate Care Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
Entity Name | Physicians Immediate Care North Chicago Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
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 |
Entity Name | Wellnow Urgent Care, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669825162 PECOS PAC ID: 8325320864 Enrollment ID: O20190320001131 |
Mailing Address | Practice Location Address |
---|---|
Shannon R Lane, FNP-C 113 W Franklin St, Mc Lean, IL 61754-9624 Ph: (309) 287-5555 | Shannon R Lane, FNP-C 1960 Freedom Pkwy, Washington, IL 61571-9468 Ph: (309) 745-7425 |
Jennifer Van Autreve, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1986 Freedom Pkwy, Washington, IL 61571 Phone: 309-308-5100 | |
Rachel A Amsbaugh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1986 Freedom Pkwy Ste 1, Washington, IL 61571 Phone: 309-308-5100 | |
Jessica E. Garceau, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Katherine J Engelke, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 | |
Samantha Renee Reliford, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Walnut St, Washington, IL 61571 Phone: 309-267-6065 | |
Gail Goeppinger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Clare Ct, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4118 |