Mrs Toria M Shaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tunica, Mississippi. Her current practice location is
1820 Peabody St, Tunica, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 363-3656.
Mrs Toria M Shaw is licensed to practice in Mississippi (license number R873829) 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 1790077691.
Provider's Profile
Full Name | Mrs Toria M Shaw |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1820 Peabody St, Tunica, Mississippi |
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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: 1790077691
- Provider Enumeration Date: 05/10/2011
- Last Update Date: 10/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466625066
- Enrollment ID: I20111026000673
Medical Identifiers
Medical identifiers for Mrs Toria M Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790077691 | NPI | - | NPPES |
R873829 | Other | MS | RN NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R873829 (Mississippi) | 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. Mrs Toria M Shaw allows following entities to bill medicare on her behalf.
Entity Name | Aaron E Henry Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003814104 PECOS PAC ID: 1153230560 Enrollment ID: O20040330001267 |
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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. Mrs Toria M 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 Toria M Shaw, FNP Po Box 1216, Clarksdale, MS 38614-1216 Ph: (662) 624-4292 | Mrs Toria M Shaw, FNP 1820 Peabody St, Tunica, MS 38676-9441 Ph: (662) 363-3656 |
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