| Elijah Clifton Shaw, FNP-C | |
|
1207 S Bailey St, Electra, TX 76360-3221 | |
| (940) 495-3981 | |
| Not Available |
| Full Name | Elijah Clifton Shaw |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1207 S Bailey St, Electra, Texas |
| 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 |
|---|---|---|---|
| 1518816024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 962505 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1230691 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Electra Memorial Hospital | Electra, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Electra Hospital District | 6507769494 | 8 |
| Entity Name | Electra Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417051806 PECOS PAC ID: 6507769494 Enrollment ID: O20040802000308 |
| Entity Name | Electra Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1871583153 PECOS PAC ID: 6507769494 Enrollment ID: O20101118000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Clifton Shaw, FNP-C 310 W Wharton Ave, Electra, TX 76360-2320 Ph: Not Available | Elijah Clifton Shaw, FNP-C 1207 S Bailey St, Electra, TX 76360-3221 Ph: (940) 495-3981 |
Mrs. Erica Myers, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1207 S Bailey St, Electra, TX 76360 Phone: 940-495-3981 Fax: 940-495-3171 |
Deon Morin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7722 Headquarters Rd, Electra, TX 76360 Phone: 940-757-1700 |