Shaquita Shaw, in Jackson, MS - Medicare Nurse Practitioner

Shaquita Shaw, is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 1134 Winter St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 948-5572.

Shaquita Shaw is licensed to practice in Mississippi (license number RN884667) 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 1376948075.

Contact Information

	Shaquita Shaw,
	1134 Winter St, Jackson, MS 39204-2841
	(601) 948-5572
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaquita Shaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1134 Winter St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376948075
Provider Enumeration Date: 10/24/2014
Last Update Date: 10/24/2014

Medicare PECOS Information:

PECOS PAC ID: 8022396936
Enrollment ID: I20161027002050

Medical Identifiers

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

Identifier	Type	State	Issuer
1376948075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN884667 (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. Shaquita Shaw allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Health Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730120502 PECOS PAC ID: 2961398029 Enrollment ID: O20040225000632

Entity Name	Indira Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316128762 PECOS PAC ID: 2668543349 Enrollment ID: O20080624000559

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Shaquita 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
Shaquita Shaw, 559 Heatherwood Dr, Jackson, MS 39212-4707 Ph: (601) 955-5413	Shaquita Shaw, 1134 Winter St, Jackson, MS 39204-2841 Ph: (601) 948-5572

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Shaquita Shaw, - Medicare Nurse Practitioner in Jackson, MS