Dr Miranda Grace Perleberg Shaw, PSYD in Colorado Springs, CO - Medicare Clinical Psychologist Provider

Dr Miranda Grace Perleberg Shaw, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Colorado Springs, Colorado. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Family Care Center Llc and her current practice location is 4863 N Nevada Ave Ste 380, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 255-8003.

Dr Miranda Grace Perleberg Shaw is licensed to practice in Colorado (license number PSY.0003845) 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 1629239405.

Contact Information

	Dr Miranda Grace Perleberg Shaw, PSYD
	4863 N Nevada Ave Ste 380, Colorado Springs, CO 80918-3951
	(719) 255-8003
	(719) 255-8075

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Miranda Grace Perleberg Shaw
Gender	Female
Speciality	Clinical Psychologist
Experience	14 Years
Location	4863 N Nevada Ave Ste 380, Colorado Springs, Colorado
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:

Dr Miranda Grace Perleberg Shaw graduated from medical school in 2011

NPI Data:

NPI Number: 1629239405
Provider Enumeration Date: 06/24/2008
Last Update Date: 05/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8921321779
Enrollment ID: I20141231000131

Medical Identifiers

Medical identifiers for Dr Miranda Grace Perleberg Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629239405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY.0003845 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Care Center Llc	5991064420	185

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 Miranda Grace Perleberg Shaw allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226048 PECOS PAC ID: 7012810716 Enrollment ID: O20140717001895

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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 Miranda Grace Perleberg 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
Dr Miranda Grace Perleberg Shaw, PSYD 4410 S Blissful Cir, Colorado Springs, CO 80917-1534 Ph: (720) 891-6701	Dr Miranda Grace Perleberg Shaw, PSYD 4863 N Nevada Ave Ste 380, Colorado Springs, CO 80918-3951 Ph: (719) 255-8003

Reviews and Comments

Psychologist in Colorado Springs, CO

Magdalene L Lim, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4863 N Nevada Ave, Ste 321, Colorado Springs, CO 80918 Phone: 719-255-8002 Fax: 719-255-8006
Justina Kropp, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1229 Lake Plaza Dr Ste A, Colorado Springs, CO 80906 Phone: 719-900-1301 Fax: 719-735-4952
Sean Kelly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4465 Northpark Dr Ste 309, Colorado Springs, CO 80907 Phone: 719-464-3163 Fax: 719-452-3713
Kelly Laird-gillespie, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1802 Chapel Hills Dr Ste C, Colorado Springs, CO 80920 Phone: 719-695-0131
Roy Leon Hill, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 716 N Tejon St, Ste 9, Colorado Springs, CO 80903 Phone: 719-598-7800
Megan Lee Houk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 102, Colorado Springs, CO 80907 Phone: 719-357-6471
Dr. William R Dove, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 224 E Willamette Ave, Colorado Springs, CO 80903 Phone: 719-632-4812 Fax: 719-389-6928

Dr Miranda Grace Perleberg Shaw, PSYD - Medicare Psychologist in Colorado Springs, CO