Dr Roderick Kirkpatrick Shaw Iii, DMD - Medicare Dentist in Madison, FL

Dr Roderick Kirkpatrick Shaw Iii, DMD is a medicare enrolled "Dentist" provider in Madison, Florida. His current practice location is 255 Ne Duval Ave, Madison, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 973-6427.

Dr Roderick Kirkpatrick Shaw Iii is licensed to practice in Florida (license number DN10977) 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 1396083515.

Contact Information

Dr Roderick Kirkpatrick Shaw Iii, DMD
255 Ne Duval Ave,
Madison, FL 32340-2542
(850) 973-6427
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Roderick Kirkpatrick Shaw Iii
GenderMale
SpecialityDentist
Location255 Ne Duval Ave, Madison, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396083515
  • Provider Enumeration Date: 01/23/2013
  • Last Update Date: 01/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7517262322
  • Enrollment ID: I20160216001457

Medical Identifiers

Medical identifiers for Dr Roderick Kirkpatrick Shaw Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396083515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN10977 (Florida)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. Dr Roderick Kirkpatrick Shaw Iii 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 AddressPractice Location Address
Dr Roderick Kirkpatrick Shaw Iii, DMD
255 Ne Duval Ave,
Madison, FL 32340-2542

Ph: (850) 973-6427
Dr Roderick Kirkpatrick Shaw Iii, DMD
255 Ne Duval Ave,
Madison, FL 32340-2542

Ph: (850) 973-6427

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.