Crystal Shaw, FNP in Oxford, MS - Medicare Nurse Practitioner

Crystal Shaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in Oxford, Mississippi. Her current practice location is 1100 Belk Blvd, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 636-5320.

Crystal Shaw is licensed to practice in Mississippi (license number F09220871) 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 1205430964.

Contact Information

	Crystal Shaw, FNP
	1100 Belk Blvd, Oxford, MS 38655-5242
	(662) 636-5320
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Shaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 Belk Blvd, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205430964
Provider Enumeration Date: 11/24/2020
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1052783248
Enrollment ID: I20230216001918

Medical Identifiers

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

Identifier	Type	State	Issuer
1205430964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	896703 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	F09220871 (Mississippi)	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. Crystal Shaw allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Hospitalists Of Ms, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467856385 PECOS PAC ID: 6709101322 Enrollment ID: O20150202001604

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Crystal 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
Crystal Shaw, FNP 3042 County Road 85, Coffeeville, MS 38922-3411 Ph: (662) 809-1619	Crystal Shaw, FNP 1100 Belk Blvd, Oxford, MS 38655-5242 Ph: (662) 636-5320

Reviews and Comments

Nurse Practitioner Nurses in Oxford, MS

Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432
Shavonne Bridgette Doyle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285
Michelle Cullen, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1109 N Lamar Blvd, Suite 1, Oxford, MS 38655 Phone: 662-238-7860 Fax: 662-238-7871
Jene' White Smith, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1397 Belk Blvd, Oxford, MS 38655 Phone: 662-236-4675 Fax: 662-281-0819
Tammy L. Pelegrin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Azalea Dr, Ste A, Oxford, MS 38655 Phone: 662-236-7738 Fax: 662-236-9642

Crystal Shaw, FNP - Medicare Nurse Practitioner in Oxford, MS