Dr Xavian Terrence Shaw Jr, CRNA in Danbury, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Xavian Terrence Shaw Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Danbury, Connecticut. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Yale University and his current practice location is 24 Hospital Ave, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (866) 374-0007.

Dr Xavian Terrence Shaw Jr is licensed to practice in Connecticut (license number 9244) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144837493.

Contact Information

	Dr Xavian Terrence Shaw Jr, CRNA
	24 Hospital Ave, Danbury, CT 06810-6077
	(866) 374-0007
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Xavian Terrence Shaw Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	24 Hospital Ave, Danbury, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Xavian Terrence Shaw Jr graduated from nursing school in 2020

NPI Data:

NPI Number: 1144837493
Provider Enumeration Date: 09/29/2020
Last Update Date: 08/14/2022

Medicare PECOS Information:

PECOS PAC ID: 9830500883
Enrollment ID: I20201123001397

Medical Identifiers

Medical identifiers for Dr Xavian Terrence Shaw Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144837493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	170803 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	9244 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yale-new Haven Hospital	New haven, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yale University	9436061736	2241

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. Dr Xavian Terrence Shaw Jr allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Entity Name	North American Partners In Anesthesia Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316994775 PECOS PAC ID: 6709877939 Enrollment ID: O20040519000120

Entity Name	Synergy Anesthesia Ct Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952017113 PECOS PAC ID: 1759755416 Enrollment ID: O20230320001420

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. Dr Xavian Terrence Shaw Jr 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
Dr Xavian Terrence Shaw Jr, CRNA 266 S 9th Ave Apt C, Mount Vernon, NY 10550-3743 Ph: (917) 371-7940	Dr Xavian Terrence Shaw Jr, CRNA 24 Hospital Ave, Danbury, CT 06810-6077 Ph: (866) 374-0007

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Danbury, CT

Garrett Jaffe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7118
Adam Ryan-lewis Boucher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 860-377-4177
Jennifer Park Severenko, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7118 Fax: 203-749-9030
Miss Jessica Burlington Hamlin, RN, MS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7000
Mrs. Diana Eileen Jones, CRNA APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-739-7118
John F O'brien, A.P.R.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7118
Renee Nicole Rathbun, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 914-299-6785

Dr Xavian Terrence Shaw Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Danbury, CT