Mr Kenton O Shaw, in Nashville, TN - Medicare Speech-Language Pathologist Provider

Mr Kenton O Shaw, is a medicare enrolled "Speech-language Pathologist" provider in Nashville, Tennessee. His current practice location is 3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 936-2000.

Mr Kenton O Shaw is licensed to practice in Tennessee (license number SP 0000004254) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912345687.

Contact Information

	Mr Kenton O Shaw,
	3601 The Vanderbilt Clinic, Nashville, TN 37232-4487
	(615) 936-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kenton O Shaw
Gender	Male
Speciality	Speech-language Pathologist
Location	3601 The Vanderbilt Clinic, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912345687
Provider Enumeration Date: 06/04/2013
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID: 0941634489
Enrollment ID: I20191216003082

Medical Identifiers

Medical identifiers for Mr Kenton O Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912345687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP 0000004254 (Tennessee)	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. Mr Kenton O Shaw allows following entities to bill medicare on his behalf.

Provider Name	Vanderbilt University Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Mr Kenton O 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
Mr Kenton O Shaw, 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 936-2000	Mr Kenton O Shaw, 3601 The Vanderbilt Clinic, Nashville, TN 37232-4487 Ph: (615) 936-2000

Reviews and Comments

Speech-Language Pathologist in Nashville, TN

Miss Joann Marx, SPEECH PATHOLOGIST M Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4525 Harding Road, Nashville, TN 37205 Phone: 615-383-4141
Ms. Carly Evans, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4741 Trousdale Dr, Suite 1, Nashville, TN 37220 Phone: 615-290-5397
Katherine Lewton, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Bransford Ave, Nashville, TN 37204 Phone: 423-622-1551
Amanda Brock, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Bransford Ave, Nashville, TN 37204 Phone: 423-622-1551 Fax: 877-856-7133
Mary Alice Patton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1215 21st Ave S, Suite 6209, Nashville, TN 37232 Phone: 615-936-1597
Ms. Mary E Hallum, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8044 Coley Davis Rd, Nashville, TN 37221 Phone: 615-646-4466
Lakeysha Hampton, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2601 Bransford Ave, Nashville, TN 37204 Phone: 423-622-1551 Fax: 877-856-7133

Mr Kenton O Shaw, - Medicare Speech-Language Pathologist in Nashville, TN