Jeff Shaw, in Hartford, CT - Medicare Nurse Practitioner

Jeff Shaw, is a medicare enrolled "Nurse Practitioner - Acute Care" in Hartford, Connecticut. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hartford Hospital, Midstate Medical Center and his current practice location is 80 Seymour St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (917) 605-3326.

Jeff Shaw is licensed to practice in Connecticut (license number 8927) 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 1457970022.

Contact Information

	Jeff Shaw,
	80 Seymour St, Hartford, CT 06102-8000
	(917) 605-3326
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeff Shaw
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	80 Seymour St, Hartford, 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:

Jeff Shaw graduated from nursing school in 2020

NPI Data:

NPI Number: 1457970022
Provider Enumeration Date: 04/13/2020
Last Update Date: 09/17/2020

Medicare PECOS Information:

PECOS PAC ID: 7416369095
Enrollment ID: I20201225000006

Medical Identifiers

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

Identifier	Type	State	Issuer
1457970022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	153286 (Connecticut)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	8927 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Hospital	2567366016	827
Midstate Medical Center	7416840699	128

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. Jeff Shaw allows following entities to bill medicare on his behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	The Hospital Of Central Connecticut At New Britain General And Bradley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497

Entity Name	Midstate Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Jeff 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
Jeff Shaw, 30 Pequonnock Cir, Stratford, CT 06614-2313 Ph: (917) 605-3326	Jeff Shaw, 80 Seymour St, Hartford, CT 06102-8000 Ph: (917) 605-3326

Reviews and Comments

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Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680
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Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786
Marlo Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-0000
Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001

Jeff Shaw, - Medicare Nurse Practitioner in Hartford, CT