Benjamin Shaw, PA is a medicare enrolled "Physician Assistant - Medical" in South Bound Brook, New Jersey. His current practice location is
141 Main St, South Bound Brook, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 560-1234.
Benjamin Shaw is licensed to practice in New Jersey (license number 25MP00306300) 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 1477986610.
Provider's Profile
Full Name | Benjamin Shaw |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 141 Main St, South Bound Brook, New Jersey |
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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: 1477986610
- Provider Enumeration Date: 08/12/2013
- Last Update Date: 08/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 9638307424
- Enrollment ID: I20140127000013
Medical Identifiers
Medical identifiers for Benjamin Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477986610 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 25MP00306300 (New Jersey) | 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. Benjamin 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 |
Benjamin Shaw, PA 141 Main St, South Bound Brook, NJ 08880-1480 Ph: (732) 560-1234 | Benjamin Shaw, PA 141 Main St, South Bound Brook, NJ 08880-1480 Ph: (732) 560-1234 |
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