Amanda Shaw, PMHNP in Huntington Beach, CA - Medicare Nurse Practitioner

Amanda Shaw, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Huntington Beach, California. Her current practice location is 18602 Demion Ln Apt C, Huntington Beach, California. You can reach out to her office (for appointments etc.) via phone at (661) 319-7834.

Amanda Shaw is licensed to practice in California (license number 95019414) 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 1083362560.

Contact Information

	Amanda Shaw, PMHNP
	18602 Demion Ln Apt C, Huntington Beach, CA 92646-8812
	(661) 319-7834
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Shaw
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	18602 Demion Ln Apt C, Huntington Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083362560
Provider Enumeration Date: 03/14/2022
Last Update Date: 03/14/2022

Medicare PECOS Information:

PECOS PAC ID: 0749622298
Enrollment ID: I20240529002321

Medical Identifiers

Medical identifiers for Amanda Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083362560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95019414 (California)	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. Amanda Shaw allows following entities to bill medicare on her behalf.

Entity Name	Center For New Directions, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578121190 PECOS PAC ID: 9335475870 Enrollment ID: O20190722003529

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. Amanda 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
Amanda Shaw, PMHNP 18602 Demion Ln Apt C, Huntington Beach, CA 92646-8812 Ph: (661) 319-7834	Amanda Shaw, PMHNP 18602 Demion Ln Apt C, Huntington Beach, CA 92646-8812 Ph: (661) 319-7834

Reviews and Comments

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Amanda Shaw, PMHNP - Medicare Nurse Practitioner in Huntington Beach, CA