Miss Shirley Vernetha Willis Iii, REGISTERED NURSE - Registered Nurse in Blue Island, IL

Miss Shirley Vernetha Willis Iii, REGISTERED NURSE is a Registered Nurse based in Blue Island, Illinois. Miss Shirley Vernetha Willis Iii is licensed to practice in Illinois (license number 041-161525) and her current practice location is 13136 Western Ave, Blue Island, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 974-5800.

NPI number for Miss Shirley Vernetha Willis Iii is 1285929620 and her current mailing address is 13136 Western Ave, Blue Island, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285929620.

Contact Information

Miss Shirley Vernetha Willis Iii, REGISTERED NURSE
13136 Western Ave,
Blue Island, IL 60406-2423
(708) 974-5800
(708) 371-0466

Map and Direction




Provider's Profile

Full NameMiss Shirley Vernetha Willis Iii
GenderFemale
SpecialityRegistered Nurse
Location13136 Western Ave, Blue Island, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285929620
  • Provider Enumeration Date: 06/14/2011
  • Last Update Date: 06/23/2011

Medical Identifiers

Medical identifiers for Miss Shirley Vernetha Willis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285929620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041-161525 (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. Miss Shirley Vernetha Willis Iii 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 AddressPractice Location Address
Miss Shirley Vernetha Willis Iii, REGISTERED NURSE
13136 Western Ave,
Blue Island, IL 60406-2423

Ph: (708) 974-5800
Miss Shirley Vernetha Willis Iii, REGISTERED NURSE
13136 Western Ave,
Blue Island, IL 60406-2423

Ph: (708) 974-5800

Reviews and Comments


Registered Nurse Nurses in Blue Island, IL

Cynthia Cazares, FNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 3046 127th St, Blue Island, IL 60406
Phone: 773-453-6868    
Mrs. Latriese Guyton, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 12723 Honore St, Blue Island, IL 60406
Phone: 708-489-5798    
Mrs. Carol Palmer Wardlaw, RN,APN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13000 Maple Ave, Blue Island, IL 60406
Phone: 708-385-6100    Fax: 708-385-2051
Simona Milner, NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2308 Vernon St, Blue Island, IL 60406
Phone: 630-217-8014    
Nichelle M Bush, APRN FNP CEN
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 12935 Gregory St, Blue Island, IL 60406
Phone: 708-597-2000    
Marisa Reyes,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 3046 127th St, Blue Island, IL 60406
Phone: 708-377-7920    Fax: 708-930-0414

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.