Mr Aqua Shaw, APRN, FNP-C - Medicare Nurse Practitioner in New Iberia, LA

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Mr Aqua Shaw, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New Iberia, Louisiana. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pcp Urgent Care Holdings Llc, Parish State Emergency Physicians Llc and his current practice location is 2315 E Main St, New Iberia, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 364-0441.

Mr Aqua Shaw is licensed to practice in Louisiana (license number 221923) 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 1285303958.

Contact Information

Mr Aqua Shaw, APRN, FNP-C
2315 E Main St,
New Iberia, LA 70560-4031
(337) 364-0441
Not Available

Map and Direction




Provider's Profile

Full NameMr Aqua Shaw
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location2315 E Main St, New Iberia, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Aqua Shaw graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1285303958
  • Provider Enumeration Date: 09/07/2021
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507257334
  • Enrollment ID: I20220105000276

Medical Identifiers

Medical identifiers for Mr Aqua Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285303958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 221923 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pcp Urgent Care Holdings Llc509201681646
Parish State Emergency Physicians Llc519325220324

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. Mr Aqua Shaw allows following entities to bill medicare on his behalf.
Entity NameMain Street Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750796041
PECOS PAC ID: 4880917012
Enrollment ID: O20141219001279
Entity NamePcp Urgent Care Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245601038
PECOS PAC ID: 5092016816
Enrollment ID: O20151222000155
Entity NameParish State Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023832870
PECOS PAC ID: 5193252203
Enrollment ID: O20241231000431

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. Mr Aqua 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
Mr Aqua Shaw, APRN, FNP-C
11110 Boardwalk Dr Apt 21,
Baton Rouge, LA 70816-8394

Ph: () -		Mr Aqua Shaw, APRN, FNP-C
2315 E Main St,
New Iberia, LA 70560-4031

Ph: (337) 364-0441

Reviews and Comments


Nurse Practitioner Nurses in New Iberia, LA

Mr. Jonathan A Seghorn, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 806 Jefferson Ter, New Iberia, LA 70560
Phone: 337-365-4945    
Mrs. Alison T. Cantrall, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2309 E Main St, Suite 301, New Iberia, LA 70560
Phone: 337-364-4415    Fax: 337-364-4495
Allyson Hebert, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2308 E Main St Ste B, New Iberia, LA 70560
Phone: 337-369-3683    Fax: 877-796-6140
Ashley Robicheaux, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1110 E Saint Peter St, New Iberia, LA 70560
Phone: 337-364-1166    
Nichole Baucan, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 806 Jefferson Ter, New Iberia, LA 70560
Phone: 337-365-4945    Fax: 337-367-3917
Erin Elizabeth Perek, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1110 E Saint Peter St, New Iberia, LA 70560
Phone: 337-364-1166    Fax: 337-364-7090
Lisa L Freyou, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Lewis St, Suite 100, New Iberia, LA 70563
Phone: 337-367-5200    Fax: 337-369-3074

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.