Terri Kevette Shields, is a
Licensed Practical Nurse based in Homewood, Illinois. Terri Kevette Shields is licensed to practice in Illinois (license number 043133468) and her current practice location is
1349 Ridge Rd, Homewood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 920-7821.
NPI number for Terri Kevette Shields is 1477394799 and her current mailing address is 1349 Ridge Rd, Homewood, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477394799.
Provider's Profile
Full Name | Terri Kevette Shields |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1349 Ridge Rd, Homewood, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477394799
- Provider Enumeration Date: 06/03/2024
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Terri Kevette Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477394799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043133468 (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. Terri Kevette Shields is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Terri Kevette Shields, 1349 Ridge Rd, Homewood, IL 60430-1918 Ph: (708) 920-7821 | Terri Kevette Shields, 1349 Ridge Rd, Homewood, IL 60430-1918 Ph: (708) 920-7821 |
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