Theresa Shaw, NP in Rochester, NY - Medicare Nurse Practitioner

Theresa Shaw, NP is a medicare enrolled "Nurse Practitioner - Family" in Rochester, New York. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Western New York Medical Practice Pc and her current practice location is 1445 Portland Ave Ste 302, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 544-1120.

Theresa Shaw is licensed to practice in New York (license number 349389) 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 1609520055.

Contact Information

	Theresa Shaw, NP
	1445 Portland Ave Ste 302, Rochester, NY 14621-3008
	(585) 544-1120
	(585) 544-7517

Map and Direction

Provider's Profile

Full Name	Theresa Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1445 Portland Ave Ste 302, Rochester, New York
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:

Theresa Shaw graduated from nursing school in 2019

NPI Data:

NPI Number: 1609520055
Provider Enumeration Date: 02/04/2022
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 3971986720
Enrollment ID: I20220811003280

Medical Identifiers

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

Identifier	Type	State	Issuer
1609520055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	349389 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rochester General Hospital	Rochester, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western New York Medical Practice Pc	3870767791	409

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. Theresa Shaw allows following entities to bill medicare on her behalf.

Entity Name	Rochester General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644

Entity Name	Western New York Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598

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. Theresa 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
Theresa Shaw, NP 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (585) 544-1120	Theresa Shaw, NP 1445 Portland Ave Ste 302, Rochester, NY 14621-3008 Ph: (585) 544-1120

Reviews and Comments

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Theresa Shaw, NP - Medicare Nurse Practitioner in Rochester, NY