Gary Thomas Shaw, MD in Santa Rosa, CA - Medicare Diagnostic Radiology

Gary Thomas Shaw, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Santa Rosa, California. He went to University Of Arizona College Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radia California Radiology Medical Group Inc, Radia Inc P S and his current practice location is 121 Sotoyome St, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 546-4062.

Gary Thomas Shaw is licensed to practice in California (license number G54948) 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 1568542306.

Contact Information

	Gary Thomas Shaw, MD
	121 Sotoyome St, Santa Rosa, CA 95405-4823
	(707) 546-4062
	(707) 525-4097

Map and Direction

Physician's Profile

Full Name	Gary Thomas Shaw
Gender	Male
Speciality	Diagnostic Radiology
Experience	42 Years
Location	121 Sotoyome St, Santa Rosa, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gary Thomas Shaw attended and graduated from University Of Arizona College Of Medicine in 1983

NPI Data:

NPI Number: 1568542306
Provider Enumeration Date: 10/16/2006
Last Update Date: 06/10/2014

Medicare PECOS Information:

PECOS PAC ID: 2567445356
Enrollment ID: I20040611000747

Medical Identifiers

Medical identifiers for Gary Thomas Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568542306	NPI	-	NPPES
00G549480	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	G54948 (California)	Secondary
2085N0904X	Radiology - Nuclear Radiology	G54948 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	G54948 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	G54948 (California)	Primary
2085U0001X	Radiology - Diagnostic Ultrasound	G54948 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Rosa Memorial Hospital	Santa rosa, CA	Hospital
Petaluma Valley Hospital	Petaluma, CA	Hospital
Olympic Medical Center	Port angeles, WA	Hospital
Providence St Peter Hospital	Olympia, WA	Hospital
Multicare Valley Hospital	Spokane, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Radia California Radiology Medical Group Inc	8921465998	87
Radia Inc P S	9931012812	256

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. Gary Thomas Shaw allows following entities to bill medicare on his behalf.

Entity Name	Redwood Radiology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326461708 PECOS PAC ID: 7214168095 Enrollment ID: O20140319001514

Entity Name	Radia Inc P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20190305000322

Entity Name	Radia California Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20230712002879

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. Gary Thomas 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
Gary Thomas Shaw, MD Po Box 5651, Orange, CA 92863-5651 Ph: (714) 571-5000	Gary Thomas Shaw, MD 121 Sotoyome St, Santa Rosa, CA 95405-4823 Ph: (707) 546-4062

Reviews and Comments

Radiology Doctors in Santa Rosa, CA

Alan A. Larocque, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Gary Thomas Shaw, MD - Medicare Diagnostic Radiology in Santa Rosa, CA