Nicole Lynn Shaw, FNP in Three Rivers, MI - Medicare Nurse Practitioner

Nicole Lynn Shaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in Three Rivers, Michigan. Her current practice location is 721 6th Ave Ste A, Three Rivers, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 273-9782.

Nicole Lynn Shaw is licensed to practice in Michigan (license number 4704299077) 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 1417627589.

Contact Information

	Nicole Lynn Shaw, FNP
	721 6th Ave Ste A, Three Rivers, MI 49093-8378
	(269) 273-9782
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Lynn Shaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	721 6th Ave Ste A, Three Rivers, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417627589
Provider Enumeration Date: 09/20/2021
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0042600777
Enrollment ID: I20211210002148

Medical Identifiers

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

Identifier	Type	State	Issuer
1417627589	NPI	-	NPPES
1417627589	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704299077 (Michigan)	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. Nicole Lynn Shaw allows following entities to bill medicare on her behalf.

Entity Name	Three Rivers Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948

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. Nicole Lynn 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
Nicole Lynn Shaw, FNP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-1088	Nicole Lynn Shaw, FNP 721 6th Ave Ste A, Three Rivers, MI 49093-8378 Ph: (269) 273-9782

Reviews and Comments

Nurse Practitioner Nurses in Three Rivers, MI

Michelle Renee Hill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Broadway St, Three Rivers, MI 49093 Phone: 269-273-9539
Kelley C Campbell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145
Michael A Cell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Hill St Ste 300, Three Rivers, MI 49093 Phone: 269-858-3024 Fax: 269-273-9040
Anne E Davidhizar, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 6th Ave, Three Rivers, MI 49093 Phone: 269-273-1418 Fax: 269-273-3347
Samreen Kaur, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 S Erie St, Three Rivers, MI 49093 Phone: 269-273-8661
Jill R Schaaf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 S Health Parkway Ste 1, Three Rivers, MI 49093 Phone: 269-273-8557 Fax: 269-279-6461
Sarah E Born, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 517 Erie Street, Three Rivers, MI 49093 Phone: 800-427-1902 Fax: 419-531-2664

Nicole Lynn Shaw, FNP - Medicare Nurse Practitioner in Three Rivers, MI