Kevin B Shaw, LCP is a medicare enrolled "Psychologist - Clinical" provider in Ottawa, Kansas. His current practice location is
109 W 2nd St, Ottawa, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 242-2991.
Kevin B Shaw is licensed to practice in Kansas (license number 065) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639193105.
Healthcare Provider's Profile
Full Name | Kevin B Shaw |
---|
Gender | Male |
---|
Speciality | Psychologist - Clinical |
---|
Location | 109 W 2nd St, Ottawa, Kansas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639193105
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557701661
- Enrollment ID: I20240506003213
Medical Identifiers
Medical identifiers for Kevin B Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639193105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 137 (Kansas) | Secondary |
103TC0700X | Psychologist - Clinical | 065 (Kansas) | 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. Kevin B 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 Address | Practice Location Address |
Kevin B Shaw, LCP 1953 Reno Rd, Ottawa, KS 66067-8754 Ph: (785) 242-8059 | Kevin B Shaw, LCP 109 W 2nd St, Ottawa, KS 66067-2212 Ph: (785) 242-2991 |
Reviews and Comments