Dr Carmencita E Shaw, DNP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Barefoot Bay, Florida. She graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shaw Medical Group Llc and her current practice location is
947 Barefoot Blvd, Barefoot Bay, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 593-6999.
Dr Carmencita E Shaw is licensed to practice in Florida (license number APRN9432845) 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 1225402118.
Physician's Profile
| Full Name | Dr Carmencita E Shaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 947 Barefoot Blvd, Barefoot Bay, Florida |
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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:
- Dr Carmencita E Shaw graduated from medical school in 2007
NPI Data:
- NPI Number: 1225402118
- Provider Enumeration Date: 11/16/2015
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416226311
- Enrollment ID: I20170710000740
Medical Identifiers
Medical identifiers for Dr Carmencita E Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225402118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN9432845 (Florida) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN9432845 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shaw Medical Group Llc | 7719262773 | 3 |
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. Dr Carmencita E Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Shaw Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255884938
PECOS PAC ID: 7719262773
Enrollment ID: O20170315000156 |
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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 Carmencita E 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 |
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Dr Carmencita E Shaw, DNP
947 Barefoot Blvd,
Barefoot Bay, FL 32976-7101
Ph: (321) 593-6999 | Dr Carmencita E Shaw, DNP
947 Barefoot Blvd,
Barefoot Bay, FL 32976-7101
Ph: (321) 593-6999 |
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