Michael Ed Shaw, - Medicare Physician Assistant in Berlin, VT

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Michael Ed Shaw, is a medicare enrolled "Physician Assistant" in Berlin, Vermont. His current practice location is 130 Fisher Rd Unit 1, Berlin, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 371-4264.

Michael Ed Shaw is licensed to practice in Vermont (license number 055.0031417) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861969412.

Contact Information

Michael Ed Shaw,
130 Fisher Rd Unit 1,
Berlin, VT 05602-8132
(802) 371-4264
Not Available

Map and Direction




Provider's Profile

Full NameMichael Ed Shaw
GenderMale
SpecialityPhysician Assistant
Location130 Fisher Rd Unit 1, Berlin, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861969412
  • Provider Enumeration Date: 10/31/2018
  • Last Update Date: 07/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183966328
  • Enrollment ID: I20190508001958

Medical Identifiers

Medical identifiers for Michael Ed Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861969412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 055.0031417 (Vermont)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Michael Ed Shaw allows following entities to bill medicare on his behalf.
Entity NameUniversity of Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047
Entity NameCentral Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831374362
PECOS PAC ID: 9335138817
Enrollment ID: O20040510001034
Entity NamePorter Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134457013
PECOS PAC ID: 1850365180
Enrollment ID: O20050919000862
Entity NameCentral Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023028784
PECOS PAC ID: 9335138817
Enrollment ID: O20051220000393
Entity NamePorter Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740291400
PECOS PAC ID: 1850365180
Enrollment ID: O20061104000607

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. Michael Ed 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
Michael Ed Shaw,
111 Colchester Ave,
Burlington, VT 05401-1473

Ph: (802) 847-0000		Michael Ed Shaw,
130 Fisher Rd Unit 1,
Berlin, VT 05602-8132

Ph: (802) 371-4264

Reviews and Comments


Physician Assistant Nurses in Berlin, VT

Mr. Dominic Carroll Ayer, M.S. PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Barre-montpelier Road, Suite 200, Berlin, VT 05602
Phone: 802-371-4239    
Jacqueline Gallagher, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 130 Fisher Rd, Emergency Dept, Berlin, VT 05602
Phone: 802-371-4365    Fax: 802-371-4481
Robert R Davidson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Fisher Rd, Berlin, VT 05602
Phone: 802-225-7000    
Kristen Kivlen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Fisher Rd, Berlin, VT 05602
Phone: 802-371-4100    Fax: 301-797-4234
Scott Alan Small, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 130 Fisher Rd, Bld. A, Suite 2-2, Berlin, VT 05602
Phone: 802-229-2663    Fax: 802-229-6645
Patricia Ann Driscoll, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 246 Granger Rd, Suite 2, Berlin, VT 05602
Phone: 802-225-5810    Fax: 802-371-4821
William Bond Burton, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Fisher Rd, Berlin, VT 05602
Phone: 802-371-4100    

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).

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