Penelope Shields (NPI# 1033508478, PAC ID# 8325367527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033508478 |
| PAC ID by PECOS | 8325367527 |
| Professional Enrollment ID | I20150511001745 |
| Full Name | Penelope Shields |
| Organization Legal Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Address |
1005 Health Ctr Dr Suite 102 Mattoon IL 61938-4693 |
| Phone Number | 2172584042 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092614867 |
| Number of Group Practice Members | 186 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 | 2172584042 | SARAH BUSH LINCOLN HEALTH CENTER |
| Organization Legal Name | SARAH BUSH LINCOLN HEALTH CENTER |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica N Wright | Nurse Practitioner | Sarah Bush Lincoln Health Center | 2040 Lincoln Ave, Charleston, IL 60920 |
| Joan V Alvarado | Family Medicine | Sarah Bush Lincoln Health Center | 116 W Buchanan Ave, Charleston, IL 61920-2522 |
| Amit S Dande | Interventional Cardiology | Sarah Bush Lincoln Health Center | 241 W Springfield Rd, Arcola, IL 61910-1202 |
| Adree B Venatta | Family Medicine | Sarah Bush Lincoln Health Center | 168 Courthouse Sq, Toledo, IL 62468-1052 |
| Janice A Vandeveer | Family Medicine | Sarah Bush Lincoln Health Center | 650 Oak Ave, Neoga, IL 62447-1502 |
| Lori L Cudone | Otolaryngology | Sarah Bush Lincoln Health Center | 1000 Health Ctr Dr, Mattoon, IL 61938-9253 |
| Diana L Oakley | Nurse Practitioner | Sarah Bush Lincoln Health Center | 934 N Route 49 A, Sbl Casey Clinic, Casey, IL 62420-1454 |
| Shawna L Harris | Nurse Practitioner | Sarah Bush Lincoln Health Center | 7 Hawthorne Ln, Sullivan, IL 61951-9490 |
| Kiran V Joag | Internal Medicine | Sarah Bush Lincoln Health Center | 200 E Richmond Ave, Mattoon, IL 61938-4652 |
| Julian M Vassay | Internal Medicine | Sarah Bush Lincoln Health Center | 101 Professional Plz, Mattoon, IL 61938-9252 |
| Street Address |
1005 HEALTH CTR DR SUITE 102 |
| City | MATTOON |
| State | IL |
| Zip | 61938-4693 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annmarie S Mcdonagh | Psychiatry | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Suraya Kawadry | Psychiatry | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 100, Mattoon, IL 61938-4693 |
| John C Lauer | Psychiatry | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Kendra J Cole | Clinical Social Worker | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Kimberly A Dowland | Nurse Practitioner | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Michael Heise | Physician Assistant | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Mattoon, IL 61938-4693 |
| Jason D Mathews | Nurse Practitioner | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Amanda R Rizzari | Psychiatry | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Suite 102, Mattoon, IL 61938-4693 |
| Johnathon Prentice Yost | Psychiatry | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Mattoon, IL 61938-4693 |
| Lucas L Catt | Family Medicine | Sarah Bush Lincoln Health Center | 1005 Health Ctr Dr, Mattoon, IL 61938-4693 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Helms | Chiropractic | 1804 Broadway Ave, Mattoon, IL 61938-3806 | |
| Terry A Ward | Chiropractic | 1616 Lafayette Ave, Mattoon, IL 61938-3926 | |
| Hunter D Hout | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Garrett B Buell | Chiropractic | 905 Remington Rd, Mattoon, IL 61938-4210 | |
| Jamie Devon Stephens | Chiropractic | 801 Broadway Ave, Mattoon, IL 61938-4211 | |
| William S Selvidge | Chiropractic | 608 Broadway Ave, Mattoon, IL 61938-4321 | |
| Tina M Funk | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Lars A Gentry | Optometry | 420 Broadway Ave E, Mattoon, IL 61938-4604 | |
| Rachel Stuckey | Clinical Social Worker | Coles County Mental Health Association Inc | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Zehra I Rowjee | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 750 Broadway Ave E, Mattoon, IL 61938-4610 |
| Find all physicians in zip 61938 | |||
| City | MATTOON |
| Zip Code | 61938 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MATTOON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Penelope Shields.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.