Dr Collie Blevins Shaw, MD - Medicare Otolaryngology 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 34 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 NameDr Collie Blevins Shaw
GenderMale
SpecialityOtolaryngology
Experience34 Years
Location2200 Ada Ave, Conway, Arkansas
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1598763641NPI-NPPES
127214001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology C7970 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Conway Regional Health SystemConway, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Arkansas Ear Nose And Throat Clinic19514666142

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 NameCentral Arkansas Ear Nose & Throat Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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. 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.