Dr Shanique Sherita Shaw Ampiah, MD - Medicare Psychiatry & Neurology in Jacksonville, FL

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Dr Shanique Sherita Shaw Ampiah, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Jacksonville, Florida. Her current practice location is 13241 Bartram Park Blvd Unit 117, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 203-4700.

Dr Shanique Sherita Shaw Ampiah is licensed to practice in Florida (license number ME141234) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295152510.

Contact Information

Dr Shanique Sherita Shaw Ampiah, MD
13241 Bartram Park Blvd Unit 117,
Jacksonville, FL 32258-5232
(904) 203-4700
(844) 329-0848

Map and Direction




Physician's Profile

Full NameDr Shanique Sherita Shaw Ampiah
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location13241 Bartram Park Blvd Unit 117, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295152510
  • Provider Enumeration Date: 03/25/2014
  • Last Update Date: 01/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0840595054
  • Enrollment ID: I20230619000761

Medical Identifiers

Medical identifiers for Dr Shanique Sherita Shaw Ampiah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295152510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry ME141234 (Florida)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 307164 (Louisiana)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME141234 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 307164 (Louisiana)Secondary

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 Shanique Sherita Shaw Ampiah allows following entities to bill medicare on her behalf.
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063808418
PECOS PAC ID: 0446232987
Enrollment ID: O20150911002252
Entity NameCommunity Care Of West Virginia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619348844
PECOS PAC ID: 0446232987
Enrollment ID: O20160310000180
Entity NameCommunity Care Of West Virginia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275271611
PECOS PAC ID: 0648189258
Enrollment ID: O20230615000337

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 Shanique Sherita Shaw Ampiah 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 Shanique Sherita Shaw Ampiah, MD
7901 4th St N Ste 300,
St Petersburg, FL 33702-4399

Ph: (904) 203-4700		Dr Shanique Sherita Shaw Ampiah, MD
13241 Bartram Park Blvd Unit 117,
Jacksonville, FL 32258-5232

Ph: (904) 203-4700

Reviews and Comments


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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.

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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.