Gary Y Shaw, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Canton, Illinois. 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.
Physician's Profile
Full Name | Gary Y Shaw |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 180 S Main St, Canton, Illinois |
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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. |
Medical Education and Training:
- Gary Y Shaw attended and graduated from in
NPI Data:
- NPI Number: 1912940958
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 04/13/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gary Y Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912940958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 109774 (Missouri) | Primary |
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 Address | Practice 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 |
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