Avery Shaw, RDN, LDN in Wilmington, DE - Medicare Dietitian, Registered Provider

Avery Shaw, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Wilmington, Delaware. Her current practice location is 700 Foulk Rd, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at (317) 418-7307.

Avery Shaw is licensed to practice in Delaware (license number DN-0010875) 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 1720610561.

Contact Information

	Avery Shaw, RDN, LDN
	700 Foulk Rd, Wilmington, DE 19803-3708
	(317) 418-7307
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Avery Shaw
Gender	Female
Speciality	Dietitian, Registered
Location	700 Foulk Rd, Wilmington, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720610561
Provider Enumeration Date: 02/10/2020
Last Update Date: 01/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4082044508
Enrollment ID: I20200424001927

Medical Identifiers

Medical identifiers for Avery Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720610561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI61036831 (Washington)	Secondary
133V00000X	Dietitian, Registered	DN007488 (Pennsylvania)	Secondary
133V00000X	Dietitian, Registered	DN-0010875 (Delaware)	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. Avery Shaw allows following entities to bill medicare on her behalf.

Provider Name	Virginia Mason Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383

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. Avery 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
Avery Shaw, RDN, LDN 510 Ivydale Rd, Wilmington, DE 19803-4330 Ph: (317) 418-7307	Avery Shaw, RDN, LDN 700 Foulk Rd, Wilmington, DE 19803-3708 Ph: (317) 418-7307

Reviews and Comments

Dietitian, Registered in Wilmington, DE

Victoria Kay Eaton, RDN, LDN, IFNCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2810 N Church St, Wilmington, DE 19802 Phone: 773-906-4773
Mr. Stefan Pisocki, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2812 Bexley Ct, Wilmington, DE 19808 Phone: 302-547-9179 Fax: 302-547-9179
Brandywine Area Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4 Clermont Rd, Wilmington, DE 19803 Phone: 302-761-9702
Julianna W Yi, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3506 Kennett Pike, Pmri, Wilmington, DE 19807 Phone: 302-661-3043 Fax: 302-661-3010
Tillie Geyer, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 303-651-4200
Elizaveta Azeeva, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2810 N Church St, Wilmington, DE 19802 Phone: 773-906-4773
Ms. Alicia E Dill, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Nutrition Services - Aidhc, Wilmington, DE 19803 Phone: 302-651-4857 Fax: 302-651-4737

Avery Shaw, RDN, LDN - Medicare Dietitian in Wilmington, DE