Inquashia Latrice Shaw, MD is a medicare enrolled "Pediatrics" physician in Oakwood, Georgia. Her current practice location is
4019 Executive Dr, Oakwood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 533-6500.
Inquashia Latrice Shaw is licensed to practice in Georgia (license number 96412) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962039909.
Physician's Profile
Full Name | Inquashia Latrice Shaw |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 4019 Executive Dr, Oakwood, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962039909
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163886862
- Enrollment ID: I20230914000174
Medical Identifiers
Medical identifiers for Inquashia Latrice Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962039909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 96412 (Georgia) | 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. Inquashia Latrice Shaw allows following entities to bill medicare on her behalf.
Entity Name | The Longstreet Clinic, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
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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. Inquashia Latrice 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 |
Inquashia Latrice Shaw, MD 1226 Treemont Trce, Winder, GA 30680-2880 Ph: (770) 286-6388 | Inquashia Latrice Shaw, MD 4019 Executive Dr, Oakwood, GA 30566-2825 Ph: (770) 533-6500 |
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