Dr Tavis M Shaw, DO - Medicare Urology in Wpafb, OH

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Dr Tavis M Shaw, DO is a medicare enrolled "Urology" physician in Wpafb, Ohio. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Southeast Alaska Regional Health Consortium, Alaska Native Tribal Health Consortium and his current practice location is 4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 257-9292.

Dr Tavis M Shaw is licensed to practice in Ohio (license number 34.009996) 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 1871662809.

Contact Information

Dr Tavis M Shaw, DO
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529
(937) 257-9292
Not Available

Map and Direction




Physician's Profile

Full NameDr Tavis M Shaw
GenderMale
SpecialityUrology
Experience22 Years
Location4881 Sugar Maple Dr, Wpafb, Ohio
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 Tavis M Shaw graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1871662809
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 03/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638113921
  • Enrollment ID: I20170830000089

Medical Identifiers

Medical identifiers for Dr Tavis M Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871662809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery OS013233 (Pennsylvania)Secondary
208800000XUrology OS013233 (Pennsylvania)Secondary
208800000XUrology 34.009996 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alaska Native Medical CenterAnchorage, AKHospital
Mt Edgecumbe HospitalSitka, AKHospital
Providence Alaska Medical CenterAnchorage, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Alaska Regional Health Consortium1456265362298
Alaska Native Tribal Health Consortium6709780265504

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 Tavis M Shaw allows following entities to bill medicare on his behalf.
Entity NameSoutheast Alaska Regional Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631
Entity NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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 Tavis M 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 Tavis M Shaw, DO
4881 Sugar Maple Dr., Wright Patterson Medical Center,
Wpafb, OH 45433

Ph: (937) 257-9292		Dr Tavis M Shaw, DO
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529

Ph: (937) 257-9292

Reviews and Comments


Urology Doctors in Wpafb, OH

Kyle D Hart, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 937-257-4960    Fax: 217-203-6409

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.