| Michael George Shaw, PMHNP-BC | |
|
23 Pebble Hill Dr, Brandon, MS 39042-2140 | |
| (601) 941-6897 | |
| Not Available |
| Full Name | Michael George Shaw |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 23 Pebble Hill Dr, Brandon, Mississippi |
| 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 |
|---|---|---|---|
| 1073058020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 901869 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uppal Medical Center Llc | 4587998547 | 129 |
| Mdb Behavioral Health Services Llc | 0749572915 | 201 |
| Entity Name | Region Ten State of MS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073626511 PECOS PAC ID: 4284605353 Enrollment ID: O20040803000571 |
| Entity Name | Mdb Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Uppal Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558927905 PECOS PAC ID: 4587998547 Enrollment ID: O20190625001406 |
| Entity Name | Mdb Care Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144925272 PECOS PAC ID: 0547619512 Enrollment ID: O20231215002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael George Shaw, PMHNP-BC 23 Pebble Hill Dr, Brandon, MS 39042-2140 Ph: (601) 941-6897 | Michael George Shaw, PMHNP-BC 23 Pebble Hill Dr, Brandon, MS 39042-2140 Ph: (601) 941-6897 |
Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342 |
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 |
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Highway 468, Brandon, MS 39042 Phone: 601-824-0988 Fax: 601-824-0987 |
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627 |
Kenneth John Risinger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 E Government St, Brandon, MS 39042 Phone: 903-824-8880 |
Kelli Jean Huggins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 Pinebrook Cir, Brandon, MS 39047 Phone: 662-739-3576 |
Mrs. Erin Touchstone, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Crossgates Blvd, Brandon, MS 39042 Phone: 662-582-0199 |