Angela L Shaw, PNP - Medicare Nurse Practitioner in Gonzales, LA

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Angela L Shaw, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Gonzales, Louisiana. Her current practice location is 1937 S Burnside Ave, Gonzales, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-5500.

Angela L Shaw is licensed to practice in Louisiana (license number AP05787) 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 1154562049.

Contact Information

Angela L Shaw, PNP
1937 S Burnside Ave,
Gonzales, LA 70737-4632
(225) 765-5500
Not Available

Map and Direction




Provider's Profile

Full NameAngela L Shaw
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1937 S Burnside Ave, Gonzales, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154562049
  • Provider Enumeration Date: 03/23/2009
  • Last Update Date: 04/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608924519
  • Enrollment ID: I20110526000659

Medical Identifiers

Medical identifiers for Angela L Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154562049NPI-NPPES
1884910MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN107541 (Louisiana)Secondary
363LP0200XNurse Practitioner - Pediatrics AP05787 (Louisiana)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. Angela L Shaw allows following entities to bill medicare on her behalf.
Entity NameConvenient Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164422630
PECOS PAC ID: 1153306816
Enrollment ID: O20040618000886
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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. Angela L 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
Angela L Shaw, PNP
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-5727		Angela L Shaw, PNP
1937 S Burnside Ave,
Gonzales, LA 70737-4632

Ph: (225) 765-5500

Reviews and Comments


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Racine Dominique Jackson, NP
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Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737
Phone: 225-644-1990    Fax: 225-644-3264
Maretta Daniel, MSN ,APN NP-C
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Phone: 225-236-5970    

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.