Debra Lynn Shaw, NP in Edina, MN - Medicare Nurse Practitioner

Debra Lynn Shaw, NP is a medicare enrolled "Nurse Practitioner - Family" in Edina, Minnesota. Her current practice location is 3400 West 66th Street, Suite 290, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 914-1882.

Debra Lynn Shaw is licensed to practice in Minnesota (license number R144120-2) 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 1154494029.

Contact Information

	Debra Lynn Shaw, NP
	3400 West 66th Street, Suite 290, Edina, MN 55435
	(952) 914-1882
	(952) 914-1727

Map and Direction

Provider's Profile

Full Name	Debra Lynn Shaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3400 West 66th Street, Edina, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154494029
Provider Enumeration Date: 11/16/2006
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3971520727
Enrollment ID: I20051031000812

Medical Identifiers

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

Identifier	Type	State	Issuer
1154494029	NPI	-	NPPES
6409270-00	Medicaid	MN
500004309	Other	MN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R144120-2 (Minnesota)	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. Debra Lynn Shaw allows following entities to bill medicare on her behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Debra Lynn 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
Debra Lynn Shaw, NP 10973 233rd Ave Nw, Elk River, MN 55330 Ph: () -	Debra Lynn Shaw, NP 3400 West 66th Street, Suite 290, Edina, MN 55435 Ph: (952) 914-1882

Reviews and Comments

Nurse Practitioner Nurses in Edina, MN

Vicki I Buth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6545 France Ave S, Ste 540, Edina, MN 55435 Phone: 952-927-4045 Fax: 952-924-4133
Allison Dillon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-914-1733
Sarah Marie Nolan-holicky, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-836-3637
Stephen Swenson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 78th St Ste 230, Edina, MN 55439 Phone: 952-946-9777
Lisa Kae Feese, RN CDE FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7701 York Ave S, Suite 180, Edina, MN 55435 Phone: 952-927-7810 Fax: 952-927-6309
Kelley F Grotting, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4010 W 65th St, Edina, MN 55435 Phone: 952-456-7000 Fax: 952-456-7001
Jennifer B Galang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W200, Edina, MN 55435 Phone: 952-924-9005 Fax: 952-924-0330

Debra Lynn Shaw, NP - Medicare Nurse Practitioner in Edina, MN