Lindsey Shaw, APRN, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in South Bloomfield, Ohio. Her current practice location is
5030 N Walnut St, South Bloomfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 983-0015.
Lindsey Shaw is licensed to practice in Ohio (license number APRN.CNP.0029608) 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 1326625054.
Provider's Profile
| Full Name | Lindsey Shaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 5030 N Walnut St, South Bloomfield, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326625054
- Provider Enumeration Date: 03/27/2021
- Last Update Date: 02/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375935570
- Enrollment ID: I20220120001833
Medical Identifiers
Medical identifiers for Lindsey Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326625054 | NPI | - | NPPES |
| 0467322 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.0029608 (Ohio) | 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. Lindsey Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Childrens Community Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386031896
PECOS PAC ID: 5092047084
Enrollment ID: O20191023003502 |
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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. Lindsey 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 |
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Lindsey Shaw, APRN, CPNP-PC
5030 S Walnut St,
South Bloomfield, OH 43103-1029
Ph: (740) 983-0015 | Lindsey Shaw, APRN, CPNP-PC
5030 N Walnut St,
South Bloomfield, OH 43103-1018
Ph: (740) 983-0015 |
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