Alice Catherine Shaw, FNP in South Bend, IN - Medicare Nurse Practitioner

Alice Catherine Shaw, FNP is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The South Bend Clinic Llc and her current practice location is 4440 N Portage Ave, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 204-6200.

Alice Catherine Shaw is licensed to practice in Indiana (license number 71010179A) 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 1063020279.

Contact Information

	Alice Catherine Shaw, FNP
	4440 N Portage Ave, South Bend, IN 46628-9570
	(574) 204-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Alice Catherine Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	4440 N Portage Ave, South Bend, Indiana
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:

Alice Catherine Shaw graduated from nursing school in 2020

NPI Data:

NPI Number: 1063020279
Provider Enumeration Date: 07/14/2020
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3274916994
Enrollment ID: I20220812002504

Medical Identifiers

Medical identifiers for Alice Catherine Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063020279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71010179A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The South Bend Clinic Llc	3779577937	174

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. Alice Catherine Shaw allows following entities to bill medicare on her behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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. Alice Catherine 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
Alice Catherine Shaw, FNP 4440 N Portage Ave, South Bend, IN 46628 Ph: () -	Alice Catherine Shaw, FNP 4440 N Portage Ave, South Bend, IN 46628-9570 Ph: (574) 204-6200

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
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Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706
Traci Renee Pulliam, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Michigan St Fl 4, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895

Alice Catherine Shaw, FNP - Medicare Nurse Practitioner in South Bend, IN