Chace Shaw, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Palo Alto, California. His current practice location is
401 Quarry Rd, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at
(650) 725-5591.
Chace Shaw is licensed to practice in * (Not Available) (license number ) 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 1740920214.
Physician's Profile
| Full Name | Chace Shaw |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 401 Quarry Rd, Palo Alto, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740920214
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 04/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204354335
- Enrollment ID: I20250513001664
Medical Identifiers
Medical identifiers for Chace Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740920214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A190731 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Chace Shaw allows following entities to bill medicare on his behalf.
| Entity Name | Momentum For Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154426807 PECOS PAC ID: 2769377217 Enrollment ID: O20040618001294 |
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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. Chace 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 |
Chace Shaw, 401 Quarry Rd, Palo Alto, CA 94304-1419 Ph: () - | Chace Shaw, 401 Quarry Rd, Palo Alto, CA 94304-1419 Ph: (650) 725-5591 |
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