Jordan T Shaw, MD - Medicare Orthopedic Surgery in Grand Rapids, MI

Jordan T Shaw, MD is a medicare enrolled "Orthopaedic Surgery" physician in Grand Rapids, Michigan. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Mission Health Community Multispecialty Providers Llc and his current practice location is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 459-7101.

Jordan T Shaw is licensed to practice in Michigan (license number 4301501177) 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 1710373139.

Contact Information

Jordan T Shaw, MD
1111 Leffingwell Ave Ne,
Grand Rapids, MI 49525-6406
(616) 459-7101
Not Available

Map and Direction




Physician's Profile

Full NameJordan T Shaw
GenderMale
SpecialityOrthopedic Surgery
Experience9 Years
Location1111 Leffingwell Ave Ne, Grand Rapids, Michigan
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:
  • Jordan T Shaw graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1710373139
  • Provider Enumeration Date: 04/13/2015
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9234432584
  • Enrollment ID: I20240417001901

Medical Identifiers

Medical identifiers for Jordan T Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710373139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 4301501177 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Mission Hospital And Asheville Surgery CeAsheville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mission Health Community Multispecialty Providers Llc9537468574581

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. Jordan T Shaw allows following entities to bill medicare on his behalf.
Entity NameMission Health Community Multispecialty Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457719130
PECOS PAC ID: 9537468574
Enrollment ID: O20160426001883

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. Jordan T 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
Jordan T Shaw, MD
1111 Leffingwell Ave Ne,
Grand Rapids, MI 49525-6406

Ph: (616) 459-7101
Jordan T Shaw, MD
1111 Leffingwell Ave Ne,
Grand Rapids, MI 49525-6406

Ph: (616) 459-7101

Reviews and Comments


Orthopaedic Surgery Doctors in Grand Rapids, MI

Dr. Charles D Bukrey, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525
Phone: 616-459-7101    Fax: 616-464-6170
John Mahajan, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525
Phone: 616-267-8860    
Walter M Braunohler, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546
Phone: 616-267-8860    Fax: 616-267-8442
Scott David Burgess, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525
Phone: 616-459-7101    Fax: 616-464-6170
Viet Huu Do, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525
Phone: 616-459-7101    
Daniel Edward Hess, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525
Phone: 616-267-8860    
Jacob Allen Lytle, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525
Phone: 616-267-8860    

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.