| Lauren Shaw, PA-C | |
|
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | |
| (813) 745-4673 | |
| (813) 449-8618 |
| Full Name | Lauren Shaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 12902 Usf Magnolia Dr, Tampa, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518476332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9110682 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Citrus Hospital | Inverness, FL | Hospital |
| Tampa General Hospital Crystal River | Crystal river, FL | Hospital |
| Tampa General Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Services Of Zephyrhills Pa | 6204924921 | 51 |
| Bikkasani Ram Hellstern And Chandrupatla Mdpa | 2466355938 | 11 |
| Entity Name | Inphynet Contracting Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Bikkasani Ram Hellstern and Chandrupatla Mdpa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366651531 PECOS PAC ID: 2466355938 Enrollment ID: O20040130000956 |
| Entity Name | Emergency Services of Zephyrhills PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265631097 PECOS PAC ID: 6204924921 Enrollment ID: O20071114000131 |
| Entity Name | Paragon Emergency Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | W4p LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Shaw, PA-C Po Box 198441, Atlanta, GA 30384-8441 Ph: (813) 745-4673 | Lauren Shaw, PA-C 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-4673 |
Sara Elizabeth Udani, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Highland Manor Dr Ste 205, Tampa, FL 33610 Phone: 813-259-1013 Fax: 813-254-0396 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 |
Frances Ivelisse Bernardo Mercado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 |
Kyle Fernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |
Maheen Rahim Jussab Ismail, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 |