Dr Pravin Shaw, DO - Medicare Family Medicine in Costa Mesa, CA

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Dr Pravin Shaw, DO is a medicare enrolled "Family Medicine" physician in Costa Mesa, California. His current practice location is 1190 Baker St Ste 100, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (714) 668-2500.

Dr Pravin Shaw is licensed to practice in California (license number 20A11805) 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 1407136187.

Contact Information

Dr Pravin Shaw, DO
1190 Baker St Ste 100,
Costa Mesa, CA 92626-4105
(714) 668-2500
(714) 668-2515

Map and Direction




Physician's Profile

Full NameDr Pravin Shaw
GenderMale
SpecialityFamily Medicine
Location1190 Baker St Ste 100, Costa Mesa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407136187
  • Provider Enumeration Date: 08/25/2011
  • Last Update Date: 08/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0648413666
  • Enrollment ID: I20130823000388

Medical Identifiers

Medical identifiers for Dr Pravin Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407136187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A11805 (California)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. Dr Pravin Shaw allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameNewport Urgent Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114089513
PECOS PAC ID: 3375431273
Enrollment ID: O20040310000696
Entity NameBrea Urgent Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639413388
PECOS PAC ID: 5991941510
Enrollment ID: O20130425000681

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 Pravin 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 Pravin Shaw, DO
Po Box 3699,
Newport Beach, CA 92659-8699

Ph: (714) 668-2500		Dr Pravin Shaw, DO
1190 Baker St Ste 100,
Costa Mesa, CA 92626-4105

Ph: (714) 668-2500

Reviews and Comments


Family Medicine Doctors in Costa Mesa, CA

Dr. Ronald Yusi Bangsil, MD
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Dr. Luan Canh Le, MD
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Mayo J Steigler, MD
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Practice Location: 1665 Scenic Ave, Ste 100, Costa Mesa, CA 92626
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Medicare: Medicare Enrolled
Practice Location: 1520 Nutmeg Pl, Suite 110, Costa Mesa, CA 92626
Phone: 714-437-9763    Fax: 714-437-9764
Jose R. Cilliani, D.O.
Family Medicine
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Practice Location: 767 W 19th Street # 101, Orange County Latino Medical Group Inc, Costa Mesa, CA 92627
Phone: 949-574-2121    Fax: 949-574-9358

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.