Bradley J Shaw, CRNP in Clearfield, PA - Medicare Nurse Practitioner

Bradley J Shaw, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clearfield, Pennsylvania. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Still Waters Mental Health Services Llc and his current practice location is 216 N 2nd St Ste 5, Clearfield, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 205-4025.

Bradley J Shaw is licensed to practice in Pennsylvania (license number SP022269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942721592.

Contact Information

	Bradley J Shaw, CRNP
	216 N 2nd St Ste 5, Clearfield, PA 16830-2547
	(814) 205-4025
	(814) 240-6632

Map and Direction

Provider's Profile

Full Name	Bradley J Shaw
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	216 N 2nd St Ste 5, Clearfield, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley J Shaw graduated from nursing school in 2017

NPI Data:

NPI Number: 1942721592
Provider Enumeration Date: 07/05/2017
Last Update Date: 03/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2668746058
Enrollment ID: I20170925000094

Medical Identifiers

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

Identifier	Type	State	Issuer
1942721592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP022269 (Pennsylvania)	Primary
363LF0000X	Nurse Practitioner - Family	SP017631 (Pennsylvania)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Still Waters Mental Health Services Llc	4284052143	3

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. Bradley J Shaw allows following entities to bill medicare on his behalf.

Entity Name	Still Waters Mental Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659991594 PECOS PAC ID: 4284052143 Enrollment ID: O20200910000215

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. Bradley J 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
Bradley J Shaw, CRNP 216 N 2nd St Ste 5, Clearfield, PA 16830-2547 Ph: (814) 205-4025	Bradley J Shaw, CRNP 216 N 2nd St Ste 5, Clearfield, PA 16830-2547 Ph: (814) 205-4025

Reviews and Comments

Nurse Practitioner Nurses in Clearfield, PA

Kayla Marie Schreckengost, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Leonard St, Clearfield, PA 16830 Phone: 814-765-7545 Fax: 814-765-9745
Mandie L Shaw, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 N 2nd St Ste 5, Clearfield, PA 16830 Phone: 814-205-4025 Fax: 814-240-6632
Amy D. Criscitello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1033 Turnpike Ave, Suite 300, Clearfield, PA 16830 Phone: 814-768-2137
Denelle Lynn Vasbinder, CRNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 214 Airport Rd, Clearfield, PA 16830 Phone: 814-765-7575
Sylwia Mccullough, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 River Rd, Clearfield, PA 16830 Phone: --
Diane Marie Hoover, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 195 Flegal Rd, Clearfield, PA 16830 Phone: 814-205-4336 Fax: 814-318-1300
Brenda Lee Houdeshell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 N Front St, Clearfield, PA 16830 Phone: 814-590-6822

Bradley J Shaw, CRNP - Medicare Nurse Practitioner in Clearfield, PA