Dr Renita Ta'sha Shaw, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Wiggins, Mississippi. She went to Temple University School Of Podiatric Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Memorial Hospital At Gulfport and her current practice location is
1434 Central Ave E, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 928-6700.
Dr Renita Ta'sha Shaw is licensed to practice in Mississippi (license number 80199) 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 1376783324.
Healthcare Provider's Profile
| Full Name | Dr Renita Ta'sha Shaw |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 18 Years |
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| Location | 1434 Central Ave E, Wiggins, Mississippi |
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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:
- Dr Renita Ta'sha Shaw attended and graduated from Temple University School Of Podiatric Medicine in 2006
NPI Data:
- NPI Number: 1376783324
- Provider Enumeration Date: 03/04/2009
- Last Update Date: 06/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 3577699180
- Enrollment ID: I20100407000032
Medical Identifiers
Medical identifiers for Dr Renita Ta'sha Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376783324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | 80199 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Hospital At Gulfport | 2466524012 | 385 |
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. Dr Renita Ta'sha Shaw allows following entities to bill medicare on her behalf.
| Provider Name | Memorial Hospital At Gulfport |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396 |
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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. Dr Renita Ta'sha 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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Dr Renita Ta'sha Shaw, DPM
1434 E Central Ave., Stone County Hospital,
Wiggins, MS 39503
Ph: (601) 928-6700 | Dr Renita Ta'sha Shaw, DPM
1434 Central Ave E,
Wiggins, MS 39577-9602
Ph: (601) 928-6700 |
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