Nathan Levi Shaw, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Show Low, Arizona. His current practice location is
2500 E Show Low Lake Rd, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 537-2951.
Nathan Levi Shaw is licensed to practice in Arizona (license number AP10203) 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 1962931287.
Physician's Profile
Full Name | Nathan Levi Shaw |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2500 E Show Low Lake Rd, Show Low, Arizona |
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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: 1962931287
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 05/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769751320
- Enrollment ID: I20170713000919
Medical Identifiers
Medical identifiers for Nathan Levi Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962931287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | AP10203 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP10203 (Arizona) | 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. Nathan Levi Shaw allows following entities to bill medicare on his behalf.
Entity Name | Changepoint Integrated Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205877610 PECOS PAC ID: 8123004587 Enrollment ID: O20040625001074 |
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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. Nathan Levi 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 |
Nathan Levi Shaw, PMHNP 180 E 1st St S, Snowflake, AZ 85937-5311 Ph: (480) 993-4674 | Nathan Levi Shaw, PMHNP 2500 E Show Low Lake Rd, Show Low, AZ 85901-7994 Ph: (928) 537-2951 |
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