Chavonne Nakia Shaw, in Fayetteville, NC - Medicare Nurse Practitioner

Chavonne Nakia Shaw, is a medicare enrolled "Nurse Practitioner" in Fayetteville, North Carolina. Her current practice location is 1357 Walter Reed Rd Ste 101, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 984-8311.

Chavonne Nakia Shaw is licensed to practice in North Carolina (license number 5017965) 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 1174219638.

Contact Information

	Chavonne Nakia Shaw,
	1357 Walter Reed Rd Ste 101, Fayetteville, NC 28304-4417
	(910) 984-8311
	Not Available

Map and Direction

Provider's Profile

Full Name	Chavonne Nakia Shaw
Gender	Female
Speciality	Nurse Practitioner
Location	1357 Walter Reed Rd Ste 101, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174219638
Provider Enumeration Date: 04/17/2023
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7517312804
Enrollment ID: I20231005002608

Medical Identifiers

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

Identifier	Type	State	Issuer
1174219638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5017965 (North Carolina)	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. Chavonne Nakia Shaw allows following entities to bill medicare on her behalf.

Entity Name	Wake Spine & Pain Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568696748 PECOS PAC ID: 2860543097 Enrollment ID: O20090630000286

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. Chavonne Nakia 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
Chavonne Nakia Shaw, 537 Bellgrove Dr, Hope Mills, NC 28348-2795 Ph: (843) 425-4507	Chavonne Nakia Shaw, 1357 Walter Reed Rd Ste 101, Fayetteville, NC 28304-4417 Ph: (910) 984-8311

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NC

Mrs. Sekeya Edreekia Durgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6244
Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Norris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100

Chavonne Nakia Shaw, - Medicare Nurse Practitioner in Fayetteville, NC