Mekesha Shaw, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Hartsville, South Carolina. Her current practice location is
1268 S 4th St, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 332-3422.
Mekesha Shaw is licensed to practice in South Carolina (license number 22188) 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 1922589704.
Physician's Profile
Full Name | Mekesha Shaw |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1268 S 4th St, Hartsville, South Carolina |
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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: 1922589704
- Provider Enumeration Date: 08/28/2018
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527474139
- Enrollment ID: I20210305001616
Medical Identifiers
Medical identifiers for Mekesha Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922589704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 22188 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 22188 (South Carolina) | 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. Mekesha Shaw allows following entities to bill medicare on her behalf.
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
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Entity Name | Pruitthealth Physicians Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20210316000687 |
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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. Mekesha 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 |
Mekesha Shaw, FNP-BC 1196 Waxwing Dr Unit A, Florence, SC 29505-3846 Ph: (843) 687-0530 | Mekesha Shaw, FNP-BC 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422 |
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