Stephanie Shaw, DNP is a medicare enrolled "Nurse Practitioner - Family" in Redfield, Arkansas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jefferson Comprehensive Care System, Inc and her current practice location is
823 River Rd, Redfield, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 397-2261.
Stephanie Shaw is licensed to practice in Arkansas (license number A004457) 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 1811364995.
Provider's Profile
| Full Name | Stephanie Shaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 823 River Rd, Redfield, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stephanie Shaw graduated from nursing school in 2015
NPI Data:
- NPI Number: 1811364995
- Provider Enumeration Date: 08/25/2015
- Last Update Date: 04/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254640584
- Enrollment ID: I20160510002025
Medical Identifiers
Medical identifiers for Stephanie Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811364995 | NPI | - | NPPES |
| 213811758 | Medicaid | AR | |
| A004457 | Other | AR | APRN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A004457 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jefferson Comprehensive Care System, Inc | 5193634509 | 9 |
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. Stephanie Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Jefferson Comprehensive Care System, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154386597
PECOS PAC ID: 5193634509
Enrollment ID: O20040603001458 |
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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. Stephanie 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 |
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Stephanie Shaw, DNP
823 River Rd,
Redfield, AR 72132-9667
Ph: (501) 397-2261 | Stephanie Shaw, DNP
823 River Rd,
Redfield, AR 72132-9667
Ph: (501) 397-2261 |
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