Dr David Joseph Shaw, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jber Elmendorf Afb, Alaska. His current practice location is
5955 Zeamer Ave, 673d Mdg, Jber Elmendorf Afb, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 580-1011.
Dr David Joseph Shaw is licensed to practice in Arizona (license number 005570) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033348792.
Physician's Profile
| Full Name | Dr David Joseph Shaw |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
|---|
| Location | 5955 Zeamer Ave, Jber Elmendorf Afb, Alaska |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1033348792
- Provider Enumeration Date: 07/02/2009
- Last Update Date: 09/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 4880901784
- Enrollment ID: I20160812001309
Medical Identifiers
Medical identifiers for Dr David Joseph Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033348792 | NPI | - | NPPES |
| 1648361 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 005570 (Arizona) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 005570 (Arizona) | 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. Dr David Joseph Shaw allows following entities to bill medicare on his behalf.
| Entity Name | South Peninsula Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1679566269
PECOS PAC ID: 5395636930
Enrollment ID: O20040323000583 |
|---|
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 David Joseph 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 |
|---|
Dr David Joseph Shaw, DO
5955 Zeamer Avenue, 673d Mdg,
Jber, AK 99506
Ph: () - | Dr David Joseph Shaw, DO
5955 Zeamer Ave, 673d Mdg,
Jber Elmendorf Afb, AK 99506
Ph: (907) 580-1011 |
Reviews and Comments