Andrea Lyn Shaw, is a
Licensed Practical Nurse based in Ridgway, Illinois. Andrea Lyn Shaw is licensed to practice in Illinois (license number 043119608) and her current practice location is
900 W Race St, Ridgway, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 272-8831.
NPI number for Andrea Lyn Shaw is 1174286736 and her current mailing address is 900 W Race St, Ridgway, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174286736.
Provider's Profile
Full Name | Andrea Lyn Shaw |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 900 W Race St, Ridgway, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174286736
- Provider Enumeration Date: 10/20/2021
- Last Update Date: 10/20/2021
Medical Identifiers
Medical identifiers for Andrea Lyn Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174286736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043119608 (Illinois) | Primary |
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. Andrea Lyn Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrea Lyn Shaw, 900 W Race St, Ridgway, IL 62979-1150 Ph: (618) 272-8831 | Andrea Lyn Shaw, 900 W Race St, Ridgway, IL 62979-1150 Ph: (618) 272-8831 |
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