Jeremiah J Shaw, MD in Monona, WI - Medicare Family Medicine

Jeremiah J Shaw, MD is a medicare enrolled "Family Medicine" physician in Monona, Wisconsin. His current practice location is 1050 E Broadway, Monona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 287-5899.

Jeremiah J Shaw is licensed to practice in Wisconsin (license number 74863-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619439403.

Contact Information

	Jeremiah J Shaw, MD
	1050 E Broadway, Monona, WI 53716-4023
	(608) 287-5899
	(608) 251-2332

Map and Direction

Physician's Profile

Full Name	Jeremiah J Shaw
Gender	Male
Speciality	Family Medicine
Location	1050 E Broadway, Monona, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619439403
Provider Enumeration Date: 04/02/2019
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3375877558
Enrollment ID: I20220817003374

Medical Identifiers

Medical identifiers for Jeremiah J Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619439403	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	74863-20 (Wisconsin)	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. Jeremiah J Shaw allows following entities to bill medicare on his behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

Entity Name	Access Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417055617 PECOS PAC ID: 0345153672 Enrollment ID: O20041204000065

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. Jeremiah J 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
Jeremiah J Shaw, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Jeremiah J Shaw, MD 1050 E Broadway, Monona, WI 53716-4023 Ph: (608) 287-5899

Reviews and Comments

Family Medicine Doctors in Monona, WI

Michael Duane Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-287-5899 Fax: 608-251-2332
James Clark Ircink, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-222-8779 Fax: 608-222-8944
Diane L Wendland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3000 Fax: 608-417-3100
Derek E Clevidence, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3000 Fax: 608-417-3100
Danielle E Hartwig, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-222-8779
Amy L Bauman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Broadway, Monona, WI 53716 Phone: 608-222-8779 Fax: 608-222-8944
Bridget A Pribbenow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3000 Fax: 608-417-3331

Jeremiah J Shaw, MD - Medicare Family Medicine in Monona, WI