Shirlisa Love, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Menard, Illinois. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Yusuf Salah, Llc, Comwell and her current practice location is
Menard Correctional Center, 711 E Kaskaskia St., Menard, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 826-5071.
Shirlisa Love is licensed to practice in Illinois (license number 209029158) 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 1104691815.
Provider's Profile
| Full Name | Shirlisa Love |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | Menard Correctional Center, Menard, 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. |
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Medical Education and Training:
- Shirlisa Love graduated from nursing school in 2023
NPI Data:
- NPI Number: 1104691815
- Provider Enumeration Date: 11/22/2023
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052836574
- Enrollment ID: I20250506002945
Medical Identifiers
Medical identifiers for Shirlisa Love such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104691815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023046705 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209029158 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Yusuf Salah, Llc | 3577895176 | 22 |
| Comwell | 6709848831 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shirlisa Love allows following entities to bill medicare on her behalf.
| Entity Name | Comwell |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134199037
PECOS PAC ID: 6709848831
Enrollment ID: O20041101000976 |
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| Entity Name | Yusuf Salah, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982254850
PECOS PAC ID: 3577895176
Enrollment ID: O20191031001966 |
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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. Shirlisa Love 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 |
|---|
Shirlisa Love,
112 Meadowcrest Dr,
Belleville, IL 62221-6749
Ph: (161) 855-0502 | Shirlisa Love,
Menard Correctional Center, 711 E Kaskaskia St.,
Menard, IL 62259
Ph: (618) 826-5071 |
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