Mrs Martha Jean Shaw, is a
Licensed Practical Nurse based in Taylor, Mississippi. Mrs Martha Jean Shaw is licensed to practice in Mississippi (license number 164W00000X) and her current practice location is
188 County Road 343, Taylor, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 236-4543.
NPI number for Mrs Martha Jean Shaw is 1003967217 and her current mailing address is 188 County Road 343, Taylor, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003967217.
Provider's Profile
Full Name | Mrs Martha Jean Shaw |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 188 County Road 343, Taylor, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003967217
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Martha Jean Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003967217 | NPI | - | NPPES |
00770204 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 164W00000X (Mississippi) | 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. Mrs Martha Jean Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Martha Jean Shaw, 188 County Road 343, Taylor, MS 38673-4541 Ph: (662) 236-4543 | Mrs Martha Jean Shaw, 188 County Road 343, Taylor, MS 38673-4541 Ph: (662) 236-4543 |
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