Audrey Jean Shaw, PA - Medicare Physician Assistant in Stanwood, MI

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Audrey Jean Shaw, PA is a medicare enrolled "Physician Assistant" in Stanwood, Michigan. Her current practice location is 8354 100th Ave Ste 1, Stanwood, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 972-6000.

Audrey Jean Shaw is licensed to practice in Michigan (license number 5601009531) 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 1427526037.

Contact Information

Audrey Jean Shaw, PA
8354 100th Ave Ste 1,
Stanwood, MI 49346-8345
(231) 972-6000
Not Available

Map and Direction




Provider's Profile

Full NameAudrey Jean Shaw
GenderFemale
SpecialityPhysician Assistant
Location8354 100th Ave Ste 1, Stanwood, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427526037
  • Provider Enumeration Date: 11/13/2018
  • Last Update Date: 05/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759713639
  • Enrollment ID: I20191114001319

Medical Identifiers

Medical identifiers for Audrey Jean Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427526037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601009531 (Michigan)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. Audrey Jean Shaw allows following entities to bill medicare on her behalf.
Entity NameMecosta County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386693471
PECOS PAC ID: 1951215540
Enrollment ID: O20031118000335
Entity NameFamily Health Psychiatric & Counseling Center, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487703567
PECOS PAC ID: 1153228721
Enrollment ID: O20031212000872
Entity NameIsabella Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558765347
PECOS PAC ID: 1254654494
Enrollment ID: O20141219001674

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. Audrey Jean 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
Audrey Jean Shaw, PA
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: Not Available		Audrey Jean Shaw, PA
8354 100th Ave Ste 1,
Stanwood, MI 49346-8345

Ph: (231) 972-6000

Reviews and Comments


Physician Assistant Nurses in Stanwood, MI

Tiffany L Lattimore, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8354 100th Ave, Stanwood, MI 49346
Phone: 231-972-6000    

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.