Ms Tamara Shaw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ft Carson, Colorado. Her current practice location is
1650 Cochrane Cir, Ft Carson, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 526-4585.
Ms Tamara Shaw is licensed to practice in Colorado (license number CSW.00992687) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972575421.
Healthcare Provider's Profile
Full Name | Ms Tamara Shaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1650 Cochrane Cir, Ft Carson, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972575421
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 06/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850779869
- Enrollment ID: I20220603000625
Medical Identifiers
Medical identifiers for Ms Tamara Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972575421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 992687 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.00992687 (Colorado) | Primary |
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. Ms Tamara Shaw allows following entities to bill medicare on her behalf.
Entity Name | Deer Oaks Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316345291 PECOS PAC ID: 8628375730 Enrollment ID: O20170109001756 |
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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. Ms Tamara 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 |
Ms Tamara Shaw, LCSW 1650 Cochrane Cir, Ft Carson, CO 80913-4603 Ph: (719) 526-4585 | Ms Tamara Shaw, LCSW 1650 Cochrane Cir, Ft Carson, CO 80913-4603 Ph: (719) 526-4585 |
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