Michael J Shaw, - Medicare Internal Medicine in St Louis Park, MN

Michael J Shaw, is a medicare enrolled "Internal Medicine - Gastroenterology" physician in St Louis Park, Minnesota. His current practice location is 3800 Park Nicollet Blvd, Park Nicollet Clinic - Gastro, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3240.

Michael J Shaw is licensed to practice in Minnesota (license number 25905) 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 1063499663.

Contact Information

Michael J Shaw,
3800 Park Nicollet Blvd, Park Nicollet Clinic - Gastro,
St Louis Park, MN 55416-2527
(952) 993-3240
(952) 993-1865

Map and Direction




Physician's Profile

Full NameMichael J Shaw
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063499663
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 07/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8820185127
  • Enrollment ID: I20071102000571

Medical Identifiers

Medical identifiers for Michael J Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063499663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 25905 (Minnesota)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. Michael J Shaw allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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. Michael 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 AddressPractice Location Address
Michael J Shaw,
6465 Wayzata Blvd, Ste 315,
St Louis Park, MN 55426-1728

Ph: (952) 993-7169
Michael J Shaw,
3800 Park Nicollet Blvd, Park Nicollet Clinic - Gastro,
St Louis Park, MN 55416-2527

Ph: (952) 993-3240

Reviews and Comments


Internal Medicine Doctors in St Louis Park, MN

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Amanda J Calvin, MD
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Phone: 952-993-3025    
Stevie Maxwell, MD
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Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    

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.