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

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 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Main Street Emergency Group 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 Name	Mr Aqua Shaw
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	2315 E Main St, New Iberia, Louisiana
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:

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.

Identifier	Type	State	Issuer
1285303958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	221923 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Street Emergency Group Llc	4880917012	29

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 Name	Main Street Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279

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 Address	Practice 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: Medicare Enrolled 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: Medicare Enrolled 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: Medicare Enrolled 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

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