Mrs Jacqueline D Shaw, MD in Chattanooga, TN

Mrs Jacqueline D Shaw, MD is a medicare enrolled "Pediatrics" physician in Chattanooga, Tennessee. Her current practice location is 3300 Wilcox Blvd, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 493-2100.

Mrs Jacqueline D Shaw is licensed to practice in Tennessee (license number 19823) 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 1598758021.

Contact Information

	Mrs Jacqueline D Shaw, MD
	3300 Wilcox Blvd, Chattanooga, TN 37411-1073
	(423) 493-2100
	(423) 493-2137

Map and Direction

Physician's Profile

Full Name	Mrs Jacqueline D Shaw
Gender	Female
Speciality	Pediatrics
Location	3300 Wilcox Blvd, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598758021
Provider Enumeration Date: 08/30/2005
Last Update Date: 10/05/2011

Medicare PECOS Information:

PECOS PAC ID: 7618215112
Enrollment ID: I20190723001404

Medical Identifiers

Medical identifiers for Mrs Jacqueline D Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598758021	NPI	-	NPPES
3050365	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	19823 (Tennessee)	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. Mrs Jacqueline D Shaw allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Health Care Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750592689 PECOS PAC ID: 1658619150 Enrollment ID: O20190722002625

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. Mrs Jacqueline D 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
Mrs Jacqueline D Shaw, MD 3300 Wilcox Blvd, Chattanooga, TN 37411-1073 Ph: (423) 493-2100	Mrs Jacqueline D Shaw, MD 3300 Wilcox Blvd, Chattanooga, TN 37411-1073 Ph: (423) 493-2100

Reviews and Comments

Pediatrics Doctors in Chattanooga, TN

Kathleen S Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 910 Blackford St, Chattanooga, TN 37403 Phone: 423-778-6505 Fax: 423-778-3157
Yolanda Spraggins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1651 Gunbarrel Rd Ste 302, Chattanooga, TN 37421 Phone: 423-899-2904 Fax: 423-892-5058
Jane S Catterton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 300, Chattanooga, TN 37415 Phone: 423-877-4524 Fax: 423-875-5860
Mr. Ricardo Federico Causo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421 Phone: 423-490-1547 Fax: 423-490-1197
Dr. Rachel A Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7550 Goodwin Rd, Chattanooga, TN 37421 Phone: 423-894-3252 Fax: 423-894-2237
Dr. William Woods Blake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-6170 Fax: 423-778-6938
Dr. Lisa Ann Lowery-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-6170 Fax: 423-778-6938

Mrs Jacqueline D Shaw, MD - Medicare Pediatrics in Chattanooga, TN