Mr Samuel Teagan Shaw, FNP-C - Medicare Nurse Practitioner in Twin Falls, ID

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Mr Samuel Teagan Shaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Twin Falls, Idaho. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sterling Provider Group, Innovative Medical Imaging Pllc, Innovative Family Medicine Of Idaho Pllc and his current practice location is 1835 Harrison St N Unit 16104, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 431-3570.

Mr Samuel Teagan Shaw is licensed to practice in Idaho (license number 73570) 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 1073248787.

Contact Information

Mr Samuel Teagan Shaw, FNP-C
1835 Harrison St N Unit 16104,
Twin Falls, ID 83301-4294
(208) 431-3570
Not Available

Map and Direction




Provider's Profile

Full NameMr Samuel Teagan Shaw
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location1835 Harrison St N Unit 16104, Twin Falls, Idaho
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 Samuel Teagan Shaw graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1073248787
  • Provider Enumeration Date: 07/18/2022
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789051244
  • Enrollment ID: I20221114000993

Medical Identifiers

Medical identifiers for Mr Samuel Teagan Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073248787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 73570 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sterling Provider Group226477337352
Innovative Medical Imaging Pllc195171105023
Innovative Family Medicine Of Idaho Pllc26688205569

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 Samuel Teagan Shaw allows following entities to bill medicare on his behalf.
Entity NameNorth Canyon Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20080610000835
Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609046671
PECOS PAC ID: 0941371439
Enrollment ID: O20090409000304
Entity NameSterling Provider Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205300407
PECOS PAC ID: 2264773373
Enrollment ID: O20190417001724
Entity NameInnovative Medical Imaging PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962015776
PECOS PAC ID: 1951711050
Enrollment ID: O20201030001557
Entity NameInnovative Family Medicine of Idaho PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811689870
PECOS PAC ID: 2668820556
Enrollment ID: O20240213003613
Entity NameNorth Canyon Medical Center Inc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1700641636
PECOS PAC ID: 0941371439
Enrollment ID: O20241016003574

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 Samuel Teagan 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 Samuel Teagan Shaw, FNP-C
1835 Harrison St N Unit 16104,
Twin Falls, ID 83301-4294

Ph: (208) 431-3570		Mr Samuel Teagan Shaw, FNP-C
1835 Harrison St N Unit 16104,
Twin Falls, ID 83301-4294

Ph: (208) 431-3570

Reviews and Comments


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Madison Christine Campbell, MSN, APRN, PMHNP-BC
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Phone: 208-814-9100    Fax: 208-814-9903
Janice Carter, FNP
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Phone: 208-733-9697    Fax: 208-733-3197
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Lesley D. Goulding, FNP-BC
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Mrs. Amanda Jo Prestigiacomo, FNP-C
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Practice Location: 350 N Haven Dr, Twin Falls, ID 83301
Phone: 208-904-4780    Fax: 208-904-4832
Jonathan Kurz,
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Practice Location: 2167 Village Park Ave Ste 300, Twin Falls, ID 83301
Phone: 208-733-5117    
Mrs. Raemi Dawn Nolevanko, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-1000    

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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