Rebecca Shaw, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Ogden, Utah. Her current practice location is
237 26th St, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 625-3700.
Rebecca Shaw is licensed to practice in Utah (license number 11765778-4405) 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 1245955921.
Healthcare Provider's Profile
Full Name | Rebecca Shaw |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 237 26th St, Ogden, Utah |
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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: 1245955921
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123475605
- Enrollment ID: I20231104000541
Medical Identifiers
Medical identifiers for Rebecca Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245955921 | NPI | - | NPPES |
260022408 | Other | UT | RAILROAD MEDICARE |
000055266 | Other | UT | MEDICARE PIN |
8760003008007 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11765778-4405 (Utah) | 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. Rebecca Shaw allows following entities to bill medicare on her behalf.
Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
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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. Rebecca 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 |
Rebecca Shaw, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 | Rebecca Shaw, 237 26th St, Ogden, UT 84401-3105 Ph: (801) 625-3700 |
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