Stacey L Shaw, ARNP in Port Orange, FL - Medicare Nurse Practitioner

Stacey L Shaw, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Port Orange, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Volusia Healthcare Corporation and her current practice location is 1690 Dunlawton Ave Ste 230, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 271-2273.

Stacey L Shaw is licensed to practice in Florida (license number 2878322) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366922882.

Contact Information

	Stacey L Shaw, ARNP
	1690 Dunlawton Ave Ste 230, Port Orange, FL 32127-8980
	(386) 271-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey L Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1690 Dunlawton Ave Ste 230, Port Orange, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey L Shaw graduated from nursing school in 2018

NPI Data:

NPI Number: 1366922882
Provider Enumeration Date: 08/14/2018
Last Update Date: 08/14/2018

Medicare PECOS Information:

PECOS PAC ID: 5799119848
Enrollment ID: I20191223001449

Medical Identifiers

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

Identifier	Type	State	Issuer
1366922882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2878322 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Fish Memorial	Orange city, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Volusia Healthcare Corporation	0446153308	29

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. Stacey L Shaw allows following entities to bill medicare on her behalf.

Entity Name	Southwest Volusia Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902095078 PECOS PAC ID: 0446153308 Enrollment ID: O20040128000953

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. Stacey L 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
Stacey L Shaw, ARNP 1690 Dunlawton Ave, Port Orange, FL 32127-8979 Ph: (386) 717-8323	Stacey L Shaw, ARNP 1690 Dunlawton Ave Ste 230, Port Orange, FL 32127-8980 Ph: (386) 271-2273

Reviews and Comments

Nurse Practitioner Nurses in Port Orange, FL

Holly Anne Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 870 Dunlawton Ave Ste 210a, Port Orange, FL 32127 Phone: 386-518-3671
Olivia Michelle Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127 Phone: 386-271-2273 Fax: 386-271-2274
Lynn Ann Howard, ARNP, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-767-8584 Fax: 386-767-8536
Jay W Butwinick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127 Phone: 386-320-3299
Margaret M. Thompson, A.R.N.P., M.S.N Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 735 Dunlawton Ave, Port Orange, FL 32127 Phone: 888-808-0488 Fax: 386-872-4232
Kelly S Kiah, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-322-4752
Ms. Margaret Leger Ramstad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1648 Taylor Rd Ste 259, Port Orange, FL 32128 Phone: 386-320-5525 Fax: 386-222-7395

Stacey L Shaw, ARNP - Medicare Nurse Practitioner in Port Orange, FL