Nichole Marie Shaw, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Addison, Illinois. Her current practice location is
1034 N Rohlwing Rd, Addison, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 790-1872.
Nichole Marie Shaw is licensed to practice in Illinois (license number 036-168586) 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 1356848741.
Physician's Profile
| Full Name | Nichole Marie Shaw |
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| Gender | Female |
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| Speciality | Orthopaedic Surgery - Hand Surgery |
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| Location | 1034 N Rohlwing Rd, Addison, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356848741
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062759178
- Enrollment ID: I20240808003491
Medical Identifiers
Medical identifiers for Nichole Marie Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356848741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 036-168586 (Illinois) | 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. Nichole Marie Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
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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. Nichole Marie 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 |
Nichole Marie Shaw, MD Po Box 713260, Chicago, IL 60677-0001 Ph: (630) 469-9200 | Nichole Marie Shaw, MD 1034 N Rohlwing Rd, Addison, IL 60101-1034 Ph: (630) 790-1872 |
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