Ms Dominique Nicole Shaw, WHNP-BC in Damascus, MD

Ms Dominique Nicole Shaw, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Damascus, Maryland. Her current practice location is 26005 Ridge Rd Ste 200, Damascus, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 414-2300.

Ms Dominique Nicole Shaw is licensed to practice in Maryland (license number R224771) 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 1760267785.

Contact Information

	Ms Dominique Nicole Shaw, WHNP-BC
	26005 Ridge Rd Ste 200, Damascus, MD 20872-1899
	(301) 414-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Dominique Nicole Shaw
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	26005 Ridge Rd Ste 200, Damascus, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760267785
Provider Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7315381332
Enrollment ID: I20240219000612

Medical Identifiers

Medical identifiers for Ms Dominique Nicole Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760267785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	R224771 (Maryland)	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. Ms Dominique Nicole Shaw allows following entities to bill medicare on her behalf.

Entity Name	Simmonds Martin & Helmbrecht Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558411934 PECOS PAC ID: 7012985492 Enrollment ID: O20040923000131

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. Ms Dominique Nicole 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
Ms Dominique Nicole Shaw, WHNP-BC 13909 Floyd St, Upper Marlboro, MD 20772-6844 Ph: (240) 274-4692	Ms Dominique Nicole Shaw, WHNP-BC 26005 Ridge Rd Ste 200, Damascus, MD 20872-1899 Ph: (301) 414-2300

Reviews and Comments

Nurse Practitioner Nurses in Damascus, MD

Irene Mah Mebune, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10407 Damascus Park Ln, Damascus, MD 20872 Phone: 301-675-4792
Ms. Judith Stevens Moriarty, CNM, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26005 Ridge Rd, #200, Damascus, MD 20872 Phone: 301-414-2300
Alexa Tanner, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26215 Ridge Rd, Damascus, MD 20872 Phone: 301-253-1100 Fax: 301-825-5163
Miranda Sanborn, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Clearwater Ct, Damascus, MD 20872 Phone: 301-253-1862
Mrs. Christine Deslauriers, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10959 Middleboro Dr, Damascus, MD 20872 Phone: 301-370-6334

Ms Dominique Nicole Shaw, WHNP-BC - Medicare Nurse Practitioner in Damascus, MD