Mrs Jacqueline Anne Shaw, PA-C in Southampton, NY

Mrs Jacqueline Anne Shaw, PA-C is a medicare enrolled "Physician Assistant" in Southampton, New York. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice True North Medical Group Pc and her current practice location is 686 County Road 39a, Southampton, New York. You can reach out to her office (for appointments etc.) via phone at (631) 283-0355.

Mrs Jacqueline Anne Shaw is licensed to practice in New York (license number ) 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 1982144911.

Contact Information

	Mrs Jacqueline Anne Shaw, PA-C
	686 County Road 39a, Southampton, NY 11968-5703
	(631) 283-0355
	(631) 283-2084

Map and Direction

Provider's Profile

Full Name	Mrs Jacqueline Anne Shaw
Gender	Female
Speciality	Physician Assistant
Experience	7 Years
Location	686 County Road 39a, Southampton, New York
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:

Mrs Jacqueline Anne Shaw graduated from nursing school in 2017

NPI Data:

NPI Number: 1982144911
Provider Enumeration Date: 02/23/2017
Last Update Date: 07/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7214205327
Enrollment ID: I20170614000759

Medical Identifiers

Medical identifiers for Mrs Jacqueline Anne Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982144911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
True North Medical Group Pc	7012194806	161

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. Mrs Jacqueline Anne 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
Mrs Jacqueline Anne Shaw, PA-C 635 Belle Terre Rd, Ste 204, Port Jefferson, NY 11777-1977 Ph: (631) 283-0355	Mrs Jacqueline Anne Shaw, PA-C 686 County Road 39a, Southampton, NY 11968-5703 Ph: (631) 283-0355

Reviews and Comments

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Mrs Jacqueline Anne Shaw, PA-C - Medicare Physician Assistant in Southampton, NY