Gary Y Shaw, MD - Medicare Otolaryngology in Canton, IL

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Gary Y Shaw, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Canton, Illinois. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Mason Hospital District, Graham Hospital Association and his current practice location is 180 S Main St, Canton, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 647-0201.

Gary Y Shaw is licensed to practice in Missouri (license number 109774) 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 1912940958.

Contact Information

Gary Y Shaw, MD
180 S Main St,
Canton, IL 61520-2608
(309) 647-0201
(309) 649-6880

Map and Direction




Physician's Profile

Full NameGary Y Shaw
GenderMale
SpecialityOtolaryngology
Experience41 Years
Location180 S Main St, Canton, Illinois
Accepts Medicare AssignmentsYes. 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 Y Shaw graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1912940958
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 04/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224005590
  • Enrollment ID: I20160307000337

Medical Identifiers

Medical identifiers for Gary Y Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912940958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 109774 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Graham Hospital AssociationCanton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mason Hospital District246636060733
Graham Hospital Association276937502195

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 Y Shaw allows following entities to bill medicare on his behalf.
Entity NameMason Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902849649
PECOS PAC ID: 2466360607
Enrollment ID: O20040412000399
Entity NameGraham Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873
Entity NameKnox Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265481006
PECOS PAC ID: 6305813411
Enrollment ID: O20040916000542

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 Y 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 AddressPractice Location Address
Gary Y Shaw, MD
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201		Gary Y Shaw, MD
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201

Reviews and Comments


Otolaryngology Doctors in Canton, IL

Fordyce Edward Stivers, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 175 S Main St, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-649-5302

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.