Tracie Shaw, DPM - Medicare Podiatrist in Chino, CA

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Tracie Shaw, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Chino, California. Her current practice location is 5365 Walnut Ave Ste P, Chino, California. You can reach out to her office (for appointments etc.) via phone at (909) 946-6643.

Tracie Shaw is licensed to practice in California (license number E5975) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659948321.

Contact Information

Tracie Shaw, DPM
5365 Walnut Ave Ste P,
Chino, CA 91710-2622
(909) 946-6643
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTracie Shaw
GenderFemale
SpecialityPodiatrist - Foot & Ankle Surgery
Location5365 Walnut Ave Ste P, Chino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659948321
  • Provider Enumeration Date: 06/09/2021
  • Last Update Date: 08/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799125092
  • Enrollment ID: I20240503001279

Medical Identifiers

Medical identifiers for Tracie Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659948321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery E5975 (California)Primary

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. Tracie Shaw allows following entities to bill medicare on her behalf.
Provider NameEmpire Foot And Ankle Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205387461
PECOS PAC ID: 1254617244
Enrollment ID: O20170405001009
Provider NameFoot And Ankle Care Team Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649740556
PECOS PAC ID: 6901145309
Enrollment ID: O20190301001325
Provider NameTarzana Foot And Ankle Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1124617576
PECOS PAC ID: 4688088586
Enrollment ID: O20210204002923
Provider NameRiverside Foot And Ankle Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700535705
PECOS PAC ID: 2365839883
Enrollment ID: O20220429002039

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. Tracie 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 AddressPractice Location Address
Tracie Shaw, DPM
1039 S Indian Summer Ave,
West Covina, CA 91790-5216

Ph: (626) 660-5239		Tracie Shaw, DPM
5365 Walnut Ave Ste P,
Chino, CA 91710-2622

Ph: (909) 946-6643

Reviews and Comments


Podiatrist in Chino, CA

Jessica Chong Dpm Mph Inc
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Dr. Dana Day, DPM
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Jessica S Chong, D.P.M.
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Practice Location: 13768 Roswell Ave, Suite #107, Chino, CA 91710
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Farid Didari,
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Foot And Ankle Care Team Inc
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Medicare: Medicare Enrolled
Practice Location: 5365 Walnut Ave Ste M, Chino, CA 91710
Phone: 909-946-6643    Fax: 909-946-6130

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.