Leslie Koziar Shaw, RN,FNP-C in Lubbock, TX - Medicare Nurse Practitioner

Leslie Koziar Shaw, RN,FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. Her current practice location is 3305 101st St, Suite 100, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 281-3431.

Leslie Koziar Shaw is licensed to practice in Texas (license number 589929) 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 1386742989.

Contact Information

	Leslie Koziar Shaw, RN,FNP-C
	3305 101st St, Suite 100, Lubbock, TX 79423-4076
	(806) 281-3431
	Not Available

Map and Direction

Provider's Profile

Full Name	Leslie Koziar Shaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3305 101st St, Lubbock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386742989
Provider Enumeration Date: 09/20/2006
Last Update Date: 10/29/2015

Medicare PECOS Information:

PECOS PAC ID: 4486975216
Enrollment ID: I20150605000538

Medical Identifiers

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

Identifier	Type	State	Issuer
1386742989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	589929 (Texas)	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. Leslie Koziar Shaw allows following entities to bill medicare on her behalf.

Entity Name	Salman Ahmad Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922472349 PECOS PAC ID: 3779878129 Enrollment ID: O20160824000573

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. Leslie Koziar 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
Leslie Koziar Shaw, RN,FNP-C 15002 Louisville Ave, Lubbock, TX 79423-6341 Ph: (806) 281-3431	Leslie Koziar Shaw, RN,FNP-C 3305 101st St, Suite 100, Lubbock, TX 79423-4076 Ph: (806) 281-3431

Reviews and Comments

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Leslie Koziar Shaw, RN,FNP-C - Medicare Nurse Practitioner in Lubbock, TX