Dr Collie Blevins Shaw, MD in Conway, AR

Dr Collie Blevins Shaw, MD is a medicare enrolled "Otolaryngology" physician in Conway, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Central Arkansas Ear Nose And Throat Clinic and his current practice location is 2200 Ada Ave, Suite 202, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 327-3929.

Dr Collie Blevins Shaw is licensed to practice in Arkansas (license number C7970) 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 1598763641.

Contact Information

	Dr Collie Blevins Shaw, MD
	2200 Ada Ave, Suite 202, Conway, AR 72034-4985
	(501) 327-3929
	(501) 329-3816

Map and Direction

Physician's Profile

Full Name	Dr Collie Blevins Shaw
Gender	Male
Speciality	Otolaryngology
Experience	35 Years
Location	2200 Ada Ave, Conway, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Collie Blevins Shaw attended and graduated from University Of Arkansas College Of Medicine in 1990

NPI Data:

NPI Number: 1598763641
Provider Enumeration Date: 07/12/2005
Last Update Date: 07/10/2007

Medicare PECOS Information:

PECOS PAC ID: 1850353863
Enrollment ID: I20100929001651

Medical Identifiers

Medical identifiers for Dr Collie Blevins Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598763641	NPI	-	NPPES
127214001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	C7970 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Arkansas Ear Nose And Throat Clinic	1951466614	2

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 Collie Blevins Shaw allows following entities to bill medicare on his behalf.

Entity Name	Central Arkansas Ear Nose & Throat Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093772436 PECOS PAC ID: 1951466614 Enrollment ID: O20090212000012

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 Collie Blevins 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 Collie Blevins Shaw, MD 2200 Ada Ave, Suite 202, Conway, AR 72034-4985 Ph: (501) 327-3929	Dr Collie Blevins Shaw, MD 2200 Ada Ave, Suite 202, Conway, AR 72034-4985 Ph: (501) 327-3929

Reviews and Comments

Otolaryngology Doctors in Conway, AR

Dr. Phillip Scott Ballinger, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave Ste 302a, Conway, AR 72034 Phone: 501-205-8095 Fax: 501-205-8533
Dr. Patrick Lee Fraley, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2425 Dave Ward Dr Ste 1101, Conway, AR 72034 Phone: 501-932-7600 Fax: 501-932-7603
Dr. Rafael Jorge Marrero, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2200 Ada Ave, Suite 202, Conway, AR 72034 Phone: 501-327-3929 Fax: 501-329-3816

Dr Collie Blevins Shaw, MD - Medicare Otolaryngology in Conway, AR