Erica D Shaw, APN in Alton, IL - Medicare Nurse Practitioner

Erica D Shaw, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alton, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Locust Street Resource Center and her current practice location is 2615 Edwards St, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 462-2331.

Erica D Shaw is licensed to practice in Illinois (license number 209020833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689179061.

Contact Information

	Erica D Shaw, APN
	2615 Edwards St, Alton, IL 62002-3915
	(618) 462-2331
	(618) 462-7160

Map and Direction

Provider's Profile

Full Name	Erica D Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2615 Edwards St, Alton, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Erica D Shaw graduated from nursing school in 2019

NPI Data:

NPI Number: 1689179061
Provider Enumeration Date: 03/27/2018
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 8820405251
Enrollment ID: I20210331000231

Medical Identifiers

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

Identifier	Type	State	Issuer
1689179061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.433193 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209020833 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carlinville Area Hospital	Carlinville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Locust Street Resource Center	6002846599	2

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. Erica D Shaw allows following entities to bill medicare on her behalf.

Entity Name	Locust Street Resource Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558456210 PECOS PAC ID: 6002846599 Enrollment ID: O20050815000615

Entity Name	Centerstone Of Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053455667 PECOS PAC ID: 2961545173 Enrollment ID: O20100209000763

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. Erica D 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
Erica D Shaw, APN 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483	Erica D Shaw, APN 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331

Reviews and Comments

Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002 Phone: 618-607-1340 Fax: 618-622-9724
Lee A Tardino, MSN ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935
Jodi R Lutz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Washington Ave, Alton, IL 62002 Phone: 314-687-2735
Lisa K James, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6170
Lindsey Nicole Erickson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 314-953-8799 Fax: 314-953-8798
Laura L Brandenburg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002 Phone: 618-463-7777 Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5035

Erica D Shaw, APN - Medicare Nurse Practitioner in Alton, IL