Charlene Shallow, NP is a medicare enrolled "Nurse Practitioner" physician in Springfield, Illinois. Her current practice location is
747 N Rutledge St Fl 4, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 545-8000.
Charlene Shallow is licensed to practice in Illinois (license number 277.001220) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295819688.
Physician's Profile
Full Name | Charlene Shallow |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 747 N Rutledge St Fl 4, Springfield, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Charlene Shallow attended and graduated from in
NPI Data:
- NPI Number: 1295819688
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charlene Shallow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295819688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0011X | Internal Medicine - Interventional Cardiology | 277.001220 (Illinois) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 209.005660 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209005660 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277.001220 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209-005660 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 277.001220 (Illinois) | Primary |
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. Charlene Shallow 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 |
Charlene Shallow, NP 201 E Madison St Ste 328, Springfield, IL 62702-5131 Ph: (217) 545-8000 | Charlene Shallow, NP 747 N Rutledge St Fl 4, Springfield, IL 62702-6700 Ph: (217) 545-8000 |
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