Select Care Pllc in Bloomington, IL - Medicare Clinic/Center

Select Care Pllc is a medicare enrolled primary clinic (Clinic/center) in Bloomington, Illinois. The current practice location for Select Care Pllc is 2103 E Washington St Ste 2c, Bloomington, Illinois. For appointments, you can reach them via phone at (309) 808-1450. The mailing address for Select Care Pllc is 2103 E Washington St Ste 2c, Bloomington, Illinois and phone number is (309) 808-1450.

Select Care Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1558947283. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (309) 808-1450.

Contact Information

	Select Care Pllc
	2103 E Washington St Ste 2c Bloomington IL 61701-4365
	(309) 808-1450
	(949) 561-4829

Map and Direction

Primary Care Clinic Profile

Full Name	Select Care Pllc
Speciality	Clinic/Center
Location	2103 E Washington St Ste 2c, Bloomington, Illinois
Authorized Official Name and Position	Shannon Laesch (OWNER)
Authorized Official Contact	3098081450
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Select Care Pllc 2103 E Washington St Ste 2c Bloomington IL 61701-4365 Ph: (309) 808-1450	Select Care Pllc 2103 E Washington St Ste 2c Bloomington IL 61701-4365 Ph: (309) 808-1450

NPI Details:

NPI Number	1558947283
Provider Enumeration Date	03/23/2021
Last Update Date	03/23/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	9335558691
Medicare Enrollment ID	O20210518000240

Medical Identifiers

Medical identifiers for Select Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558947283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Select Care Pllc acts as a billing entity for following providers:

Provider Name	Shannon L Laesch
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1033559802 PECOS PAC ID: 1355360629 Enrollment ID: I20130731000576

Reviews and Comments

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Select Care Pllc - Medicare Primary Care in Bloomington, IL