Jeffrey L Shaw, MD is a medicare enrolled "Allergy & Immunology" physician in Green Bay, Wisconsin. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis, St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is
1821 S Webster Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 496-4700.
Jeffrey L Shaw is licensed to practice in Wisconsin (license number 42113-020) 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 1124083712.
Physician's Profile
Full Name | Jeffrey L Shaw |
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Gender | Male |
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Speciality | Allergy/immunology |
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Experience | 27 Years |
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Location | 1821 S Webster Ave, Green Bay, Wisconsin |
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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:
- Jeffrey L Shaw graduated from medical school in 1997
NPI Data:
- NPI Number: 1124083712
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 01/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 8628105160
- Enrollment ID: I20121009000293
Medical Identifiers
Medical identifiers for Jeffrey L Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124083712 | NPI | - | NPPES |
2324505 | Medicaid | OH | |
1840670000 | Medicaid | WV | |
64049158 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 20844 (West Virginia) | Secondary |
207K00000X | Allergy & Immunology | 42113-020 (Wisconsin) | Primary |
208000000X | Pediatrics | 20884 (West Virginia) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 151 |
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. Jeffrey L Shaw allows following entities to bill medicare on his behalf.
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
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Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
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Entity Name | Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619355351 PECOS PAC ID: 8729072418 Enrollment ID: O20150814013380 |
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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. Jeffrey L 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 |
Jeffrey L Shaw, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Jeffrey L Shaw, MD 1821 S Webster Ave, Green Bay, WI 54301 Ph: (920) 496-4700 |
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