Brian D Shaw, CM is a medicare enrolled "Social Worker - Clinical" provider in Wynne, Arkansas. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Changes Behavioral Health, Llc and his current practice location is
204 Mississippi St S, Wynne, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 208-8499.
Brian D Shaw is licensed to practice in Arkansas (license number 5606C) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1396949517.
Healthcare Provider's Profile
| Full Name | Brian D Shaw |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 204 Mississippi St S, Wynne, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian D Shaw attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007
NPI Data:
- NPI Number: 1396949517
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 12/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 7911220462
- Enrollment ID: I20150108001434
Medical Identifiers
Medical identifiers for Brian D Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396949517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 5606C (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Changes Behavioral Health, Llc | 6103149653 | 7 |
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. Brian D Shaw allows following entities to bill medicare on his behalf.
| Entity Name | Changes Behavioral Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114260486
PECOS PAC ID: 6103149653
Enrollment ID: O20150108001118 |
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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. Brian D 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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Brian D Shaw, CM
204 Mississippi St S,
Wynne, AR 72396-3025
Ph: (870) 208-8499 | Brian D Shaw, CM
204 Mississippi St S,
Wynne, AR 72396-3025
Ph: (870) 208-8499 |
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