Dr Collie Blevins Shaw, MD is a medicare enrolled "Otolaryngology" physician in Conway, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Central Arkansas Ear Nose And Throat Clinic and his current practice location is
2200 Ada Ave, Suite 202, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 327-3929.
Dr Collie Blevins Shaw is licensed to practice in Arkansas (license number C7970) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598763641.
Physician's Profile
| Full Name | Dr Collie Blevins Shaw |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 34 Years |
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| Location | 2200 Ada Ave, Conway, Arkansas |
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| Accepts Medicare Assignments | Yes. He 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 Collie Blevins Shaw attended and graduated from University Of Arkansas College Of Medicine in 1990
NPI Data:
- NPI Number: 1598763641
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 07/10/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850353863
- Enrollment ID: I20100929001651
Medical Identifiers
Medical identifiers for Dr Collie Blevins Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598763641 | NPI | - | NPPES |
| 127214001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | C7970 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Arkansas Ear Nose And Throat Clinic | 1951466614 | 2 |
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 Collie Blevins Shaw allows following entities to bill medicare on his behalf.
| Entity Name | Central Arkansas Ear Nose & Throat Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093772436
PECOS PAC ID: 1951466614
Enrollment ID: O20090212000012 |
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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 Collie Blevins 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 Collie Blevins Shaw, MD
2200 Ada Ave, Suite 202,
Conway, AR 72034-4985
Ph: (501) 327-3929 | Dr Collie Blevins Shaw, MD
2200 Ada Ave, Suite 202,
Conway, AR 72034-4985
Ph: (501) 327-3929 |
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