Kanwon Shaw, PA-C is a medicare enrolled "Physician Assistant" physician in Hudson, Massachusetts. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Afc Physicians Of Massachusetts, Pc and her current practice location is
1 Cabot Rd Ste 101, Hudson, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 562-3536.
Kanwon Shaw is licensed to practice in Massachusetts (license number PA9339) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477170546.
Physician's Profile
| Full Name | Kanwon Shaw |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 1 Cabot Rd Ste 101, Hudson, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kanwon Shaw graduated from medical school in 2020
NPI Data:
- NPI Number: 1477170546
- Provider Enumeration Date: 07/06/2020
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870904394
- Enrollment ID: I20230928001671
Medical Identifiers
Medical identifiers for Kanwon Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477170546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | PA9338 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA9339 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Afc Physicians Of Massachusetts, Pc | 9234321308 | 60 |
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. Kanwon Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Lahey Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
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| Entity Name | Reliant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
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| Entity Name | Afc Physicians of Massachusetts, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902123276 PECOS PAC ID: 9234321308 Enrollment ID: O20101007000509 |
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| Entity Name | Charles River Medical Associates, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598215204 PECOS PAC ID: 3476630450 Enrollment ID: O20161122000110 |
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| Entity Name | Kablotsky Internal Medicine PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841096815 PECOS PAC ID: 8123543881 Enrollment ID: O20250416000339 |
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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. Kanwon 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 |
Kanwon Shaw, PA-C 171 Main St Ste 203b, Ashland, MA 01721-1187 Ph: (508) 881-3029 | Kanwon Shaw, PA-C 1 Cabot Rd Ste 101, Hudson, MA 01749-2963 Ph: (978) 562-3536 |
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