Kimberly Ann Shaw, PA-C is a medicare enrolled "Physician Assistant" in Le Claire, Iowa. Her current practice location is
200 Cody Rd S, Le Claire, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 289-2273.
Kimberly Ann Shaw is licensed to practice in Georgia (license number 005650) 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 1700865904.
Provider's Profile
Full Name | Kimberly Ann Shaw |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 200 Cody Rd S, Le Claire, Iowa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700865904
- Provider Enumeration Date: 01/16/2006
- Last Update Date: 04/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 3274558259
- Enrollment ID: I20150818003997
Medical Identifiers
Medical identifiers for Kimberly Ann Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700865904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 001653 (Iowa) | Secondary |
363A00000X | Physician Assistant | 005650 (Georgia) | Primary |
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. Kimberly Ann 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 |
Kimberly Ann Shaw, PA-C 11532 61st Ave, Blue Grass, IA 52726-9660 Ph: (563) 381-5041 | Kimberly Ann Shaw, PA-C 200 Cody Rd S, Le Claire, IA 52753-9579 Ph: (563) 289-2273 |
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