| Bradley J Shaw, CRNP | |
|
216 N 2nd St Ste 5, Clearfield, PA 16830-2547 | |
| (814) 205-4025 | |
| (814) 240-6632 |
| Full Name | Bradley J Shaw |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 216 N 2nd St Ste 5, Clearfield, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942721592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP022269 (Pennsylvania) | Primary |
| 363LF0000X | Nurse Practitioner - Family | SP017631 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Still Waters Mental Health Services Llc | 4284052143 | 2 |
| Entity Name | Still Waters Mental Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659991594 PECOS PAC ID: 4284052143 Enrollment ID: O20200910000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley J Shaw, CRNP 216 N 2nd St Ste 5, Clearfield, PA 16830-2547 Ph: (814) 205-4025 | Bradley J Shaw, CRNP 216 N 2nd St Ste 5, Clearfield, PA 16830-2547 Ph: (814) 205-4025 |
Kayla Marie Schreckengost, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Leonard St, Clearfield, PA 16830 Phone: 814-765-7545 Fax: 814-765-9745 | |
Emily M. Warrick, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E Market St, Clearfield, PA 16830 Phone: 814-205-4957 Fax: 814-205-4090 | |
Mandie L Shaw, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 N 2nd St Ste 5, Clearfield, PA 16830 Phone: 814-205-4025 Fax: 814-240-6632 | |
Amy D. Criscitello, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1033 Turnpike Ave, Suite 300, Clearfield, PA 16830 Phone: 814-768-2137 | |
Denelle Lynn Vasbinder, CRNP, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 214 Airport Rd, Clearfield, PA 16830 Phone: 814-765-7575 | |
Diane Marie Hoover, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Flegal Rd, Clearfield, PA 16830 Phone: 814-205-4336 Fax: 814-318-1300 | |
Lena Edwards-feen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 214 Airport Rd, Clearfield, PA 16830 Phone: 814-205-9900 |