Holly Shaw, PA-C - Medicare Physician Assistant in Middle River, MD

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Holly Shaw, PA-C is a medicare enrolled "Physician Assistant" in Middle River, Maryland. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice White Square Vascular Surgery Pa and her current practice location is 4 Olivia Ct, Middle River, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 834-5452.

Holly Shaw is licensed to practice in Maryland (license number C0009310) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982454971.

Contact Information

Holly Shaw, PA-C
4 Olivia Ct,
Middle River, MD 21220-1180
(443) 834-5452
Not Available

Map and Direction




Provider's Profile

Full NameHolly Shaw
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location4 Olivia Ct, Middle River, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Shaw graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1982454971
  • Provider Enumeration Date: 03/25/2024
  • Last Update Date: 09/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547700106
  • Enrollment ID: I20240910001296

Medical Identifiers

Medical identifiers for Holly Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982454971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C0009310 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Franklin Square Medical CenterRosedale, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White Square Vascular Surgery Pa58907917354

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. Holly Shaw allows following entities to bill medicare on her behalf.
Entity NameWhite Square Vascular Surgery PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285666008
PECOS PAC ID: 5890791735
Enrollment ID: O20061016000579

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. Holly 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
Holly Shaw, PA-C
5233 King Ave Ste 208,
Baltimore, MD 21237-4003

Ph: (410) 918-1525		Holly Shaw, PA-C
4 Olivia Ct,
Middle River, MD 21220-1180

Ph: (443) 834-5452

Reviews and Comments


Physician Assistant Nurses in Middle River, MD

Wayne Richard Bowerman, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7 Mariners Walk Way, Middle River, MD 21220
Phone: 443-462-7116    
Mr. Warren P Simms, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9601 Pulaski Park Dr Ste 416, Middle River, MD 21220
Phone: 410-933-5678    

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.