Leslie A Shaw, RD, LD, PA-C is a medicare enrolled "Physician Assistant" provider in North Ridgeville, Ohio. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Hospitals Medical Group Inc and her current practice location is
32800 Lorain Rd Ste 2300, North Ridgeville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 406-5500.
Leslie A Shaw is licensed to practice in Ohio (license number 50.005005RX) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275783912.
Healthcare Provider's Profile
| Full Name | Leslie A Shaw |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 32800 Lorain Rd Ste 2300, North Ridgeville, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Leslie A Shaw graduated from medical school in 2016
NPI Data:
- NPI Number: 1275783912
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 01/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 2365503406
- Enrollment ID: I20170424001930
Medical Identifiers
Medical identifiers for Leslie A Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275783912 | NPI | - | NPPES |
| 0217187 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 6251 (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.005005RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Hospitals Medical Group Inc | 4789682493 | 1542 |
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. Leslie A 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 |
|---|
Leslie A Shaw, RD, LD, PA-C
850 Columbia Rd Ste 200,
Westlake, OH 44145-7215
Ph: (440) 808-1212 | Leslie A Shaw, RD, LD, PA-C
32800 Lorain Rd Ste 2300,
North Ridgeville, OH 44039-3430
Ph: (440) 406-5500 |
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