Andrea Vittoria Shaw, MD in Syracuse, NY - Medicare Pediatric Medicine

Andrea Vittoria Shaw, MD is a medicare enrolled "Internal Medicine" physician in Syracuse, New York. She went to State University Of Ny Upstate Medical University and graduated in 2009 and has 15 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In and her current practice location is 725 East Adams St., 4th Fl, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-5831.

Andrea Vittoria Shaw is licensed to practice in New York (license number 281937) 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 1912141904.

Contact Information

	Andrea Vittoria Shaw, MD
	725 East Adams St., 4th Fl, Syracuse, NY 13210
	(315) 464-5831
	(315) 464-2030

Map and Direction

Physician's Profile

Full Name	Andrea Vittoria Shaw
Gender	Female
Speciality	Pediatric Medicine
Experience	15 Years
Location	725 East Adams St., Syracuse, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrea Vittoria Shaw attended and graduated from State University Of Ny Upstate Medical University in 2009

NPI Data:

NPI Number: 1912141904
Provider Enumeration Date: 04/22/2009
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 8820222102
Enrollment ID: I20160328001730

Medical Identifiers

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

Identifier	Type	State	Issuer
1912141904	NPI	-	NPPES
04326707	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A124854 (California)	Secondary
208000000X	Pediatrics	A124854 (California)	Secondary
208000000X	Pediatrics	281937 (New York)	Secondary
207R00000X	Internal Medicine	281937 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospital S U N Y Health Science Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In	3274445796	239

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. Andrea Vittoria Shaw allows following entities to bill medicare on her behalf.

Entity Name	Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051

Entity Name	Pediatric Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483

Entity Name	Syracuse Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443

Entity Name	Upstate Emergency Medicine, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275589582 PECOS PAC ID: 2466443494 Enrollment ID: O20040519001106

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. Andrea Vittoria 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
Andrea Vittoria Shaw, MD 725 East Adams St., 4th Fl, Syracuse, NY 13210 Ph: (315) 464-5831	Andrea Vittoria Shaw, MD 725 East Adams St., 4th Fl, Syracuse, NY 13210 Ph: (315) 464-5831

Reviews and Comments

Internal Medicine Doctors in Syracuse, NY

Courtney Myers, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815
Joan Marie Mitchell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827
Saverio J. Barbera, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338
Gordana Obradovic, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211
Kristin A Ramella, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335
Vinodhini M Subramanian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111
Robert R. Michiel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338

Andrea Vittoria Shaw, MD - Medicare Pediatric Medicine in Syracuse, NY