Brian D Shaw, CM - Medicare Clinical Social Worker in Wynne, AR

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Brian D Shaw, CM is a medicare enrolled "Social Worker - Clinical" provider in Wynne, Arkansas. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Changes Behavioral Health, Llc and his current practice location is 204 Mississippi St S, Wynne, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 208-8499.

Brian D Shaw is licensed to practice in Arkansas (license number 5606C) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396949517.

Contact Information

Brian D Shaw, CM
204 Mississippi St S,
Wynne, AR 72396-3025
(870) 208-8499
(870) 208-8044

Map and Direction




Healthcare Provider's Profile

Full NameBrian D Shaw
GenderMale
SpecialityClinical Social Worker
Experience18 Years
Location204 Mississippi St S, Wynne, Arkansas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian D Shaw attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1396949517
  • Provider Enumeration Date: 06/12/2007
  • Last Update Date: 12/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7911220462
  • Enrollment ID: I20150108001434

Medical Identifiers

Medical identifiers for Brian D Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396949517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 5606C (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Changes Behavioral Health, Llc61031496539

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. Brian D Shaw allows following entities to bill medicare on his behalf.
Entity NameChanges Behavioral Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114260486
PECOS PAC ID: 6103149653
Enrollment ID: O20150108001118

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. Brian D Shaw 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 AddressPractice Location Address
Brian D Shaw, CM
204 Mississippi St S,
Wynne, AR 72396-3025

Ph: (870) 208-8499		Brian D Shaw, CM
204 Mississippi St S,
Wynne, AR 72396-3025

Ph: (870) 208-8499

Reviews and Comments


Social Worker in Wynne, AR

Mrs. Edith Renee Sherman, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 134 County Road 665, Wynne, AR 72396
Phone: 870-238-5681    
William Blake Williams, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 204 Mississippi St S, Wynne, AR 72396
Phone: 870-208-8499    Fax: 870-208-8044

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.