Mr Jason Thomas Shaw, is a
Psychologist - Counseling based in Tecumseh, Michigan. Mr Jason Thomas Shaw is licensed to practice in Michigan (license number 6362009479) and his current practice location is
407 S Occidental Rd, Tecumseh, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 335-0877.
NPI number for Mr Jason Thomas Shaw is 1053065797 and his current mailing address is 6530 Secor Rd Ste 10, Lambertville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053065797.
Healthcare Provider's Profile
Full Name | Mr Jason Thomas Shaw |
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Gender | Male |
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Speciality | Psychologist - Counseling |
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Location | 407 S Occidental Rd, Tecumseh, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053065797
- Provider Enumeration Date: 02/11/2022
- Last Update Date: 02/14/2022
Medical Identifiers
Medical identifiers for Mr Jason Thomas Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053065797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC1900X | Psychologist - Counseling | 6362009479 (Michigan) | 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. Mr Jason Thomas Shaw 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 |
Mr Jason Thomas Shaw, 6530 Secor Rd Ste 10, Lambertville, MI 48144-9456 Ph: (734) 854-7061 | Mr Jason Thomas Shaw, 407 S Occidental Rd, Tecumseh, MI 49286-1611 Ph: (734) 335-0877 |
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