Kevin B Shaw, LCP is a medicare enrolled "Psychologist - Clinical" provider in Ottawa, Kansas. He graduated from healthcare school in 1988 and has 38 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
109 W 2nd St, Ottawa, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 242-2991.
Kevin B Shaw is licensed to practice in Kansas (license number 065) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639193105.
Healthcare Provider's Profile
| Full Name | Kevin B Shaw |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 38 Years |
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| Location | 109 W 2nd St, Ottawa, Kansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Kevin B Shaw graduated from medical school in 1988
NPI Data:
- NPI Number: 1639193105
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557701661
- Enrollment ID: I20240801001315
Medical Identifiers
Medical identifiers for Kevin B Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639193105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 137 (Kansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 065 (Kansas) | Primary |
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. Kevin B 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 |
|---|
Kevin B Shaw, LCP
1953 Reno Rd,
Ottawa, KS 66067-8754
Ph: (785) 242-8059 | Kevin B Shaw, LCP
109 W 2nd St,
Ottawa, KS 66067-2212
Ph: (785) 242-2991 |
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