Jimmy Shaw, is a
Marriage & Family Therapist based in Judsonia, Arkansas. Jimmy Shaw is licensed to practice in Arkansas (license number A1310133) and his current practice location is
120 Meghan Ln, Judsonia, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(866) 729-4479.
NPI number for Jimmy Shaw is 1417386616 and his current mailing address is 1009 W Arch Ave, Searcy, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417386616.
Healthcare Provider's Profile
Full Name | Jimmy Shaw |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 120 Meghan Ln, Judsonia, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417386616
- Provider Enumeration Date: 11/07/2013
- Last Update Date: 11/07/2013
Medical Identifiers
Medical identifiers for Jimmy Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417386616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | A1310133 (Arkansas) | 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. Jimmy 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 |
Jimmy Shaw, 1009 W Arch Ave, Searcy, AR 72143-5213 Ph: () - | Jimmy Shaw, 120 Meghan Ln, Judsonia, AR 72081-9302 Ph: (866) 729-4479 |
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