Audrey Jean Shaw, PA is a medicare enrolled "Physician Assistant" in Stanwood, Michigan. Her current practice location is
8354 100th Ave Ste 1, Stanwood, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 972-6000.
Audrey Jean Shaw is licensed to practice in Michigan (license number 5601009531) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427526037.
Provider's Profile
Full Name | Audrey Jean Shaw |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 8354 100th Ave Ste 1, Stanwood, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Audrey Jean Shaw attended and graduated from in
NPI Data:
- NPI Number: 1427526037
- Provider Enumeration Date: 11/13/2018
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Audrey Jean Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427526037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601009531 (Michigan) | 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. Audrey Jean 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 |
Audrey Jean Shaw, PA 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Audrey Jean Shaw, PA 8354 100th Ave Ste 1, Stanwood, MI 49346-8345 Ph: (231) 972-6000 |
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