Tommora A Shaw, ARNP in Council Bluffs, IA - Medicare Nurse Practitioner

Tommora A Shaw, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Council Bluffs, Iowa. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alegent Creighton Clinic and her current practice location is 800 Mercy Dr, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 328-5490.

Tommora A Shaw is licensed to practice in Nebraska (license number 111050) 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 1154558765.

Contact Information

	Tommora A Shaw, ARNP
	800 Mercy Dr, Council Bluffs, IA 51503-3128
	(712) 328-5490
	(712) 325-2499

Map and Direction

Provider's Profile

Full Name	Tommora A Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	800 Mercy Dr, Council Bluffs, Iowa
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:

Tommora A Shaw graduated from nursing school in 2009

NPI Data:

NPI Number: 1154558765
Provider Enumeration Date: 06/22/2009
Last Update Date: 05/28/2019

Medicare PECOS Information:

PECOS PAC ID: 6800942830
Enrollment ID: I20100312000515

Medical Identifiers

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

Identifier	Type	State	Issuer
1154558765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	111050 (Nebraska)	Primary
363L00000X	Nurse Practitioner	122238 (Iowa)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Health Immanuel	Omaha, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alegent Creighton Clinic	1951210418	851

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. Tommora A Shaw allows following entities to bill medicare on her behalf.

Entity Name	Alegent Creighton Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314

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. Tommora A 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
Tommora A Shaw, ARNP 7261 Mercy Rd, Omaha, NE 68124-2311 Ph: (402) 398-6255	Tommora A Shaw, ARNP 800 Mercy Dr, Council Bluffs, IA 51503-3128 Ph: (712) 328-5490

Reviews and Comments

Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Laura M Ayers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5252
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985
Brian Luedke, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Ms. Emily Wickham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022

Tommora A Shaw, ARNP - Medicare Nurse Practitioner in Council Bluffs, IA