Denise Shaw, NURSE PRACTITIONER in Lafayette, IN

Denise Shaw, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Indiana. Her current practice location is 1716 Hartford St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 742-1567.

Denise Shaw is licensed to practice in Indiana (license number 28148258A) 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 1124720560.

Contact Information

	Denise Shaw, NURSE PRACTITIONER
	1716 Hartford St, Lafayette, IN 47904-2173
	(765) 742-1567
	Not Available

Map and Direction

Provider's Profile

Full Name	Denise Shaw
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1716 Hartford St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124720560
Provider Enumeration Date: 03/20/2023
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8527411750
Enrollment ID: I20240124002188

Medical Identifiers

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

Identifier	Type	State	Issuer
1124720560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28148258A (Indiana)	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. Denise Shaw allows following entities to bill medicare on her behalf.

Entity Name	Riggs Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386660900 PECOS PAC ID: 2365432226 Enrollment ID: O20040513001185

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. Denise 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
Denise Shaw, NURSE PRACTITIONER 1716 Hartford St, Lafayette, IN 47904-2173 Ph: (765) 742-1567	Denise Shaw, NURSE PRACTITIONER 1716 Hartford St, Lafayette, IN 47904-2173 Ph: (765) 742-1567

Reviews and Comments

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Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100

Denise Shaw, NURSE PRACTITIONER - Medicare Nurse Practitioner in Lafayette, IN