Mrs Suman Gowda Shaw, FNP-BC in Joliet, IL - Medicare Nurse Practitioner

Mrs Suman Gowda Shaw, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Joliet, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pain And Spine Institute, Llc and her current practice location is 744 Essington Rd, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 729-0700.

Mrs Suman Gowda Shaw is licensed to practice in Illinois (license number 209020361) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780214718.

Contact Information

	Mrs Suman Gowda Shaw, FNP-BC
	744 Essington Rd, Joliet, IL 60435-4912
	(815) 729-0700
	(815) 729-0707

Map and Direction

Provider's Profile

Full Name	Mrs Suman Gowda Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	744 Essington Rd, Joliet, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Suman Gowda Shaw attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2019

NPI Data:

NPI Number: 1780214718
Provider Enumeration Date: 01/17/2020
Last Update Date: 10/23/2025

Medicare PECOS Information:

PECOS PAC ID: 7214364090
Enrollment ID: I20200218001307

Medical Identifiers

Medical identifiers for Mrs Suman Gowda Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780214718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209020361 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pain And Spine Institute, Llc	7618979170	11

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. Mrs Suman Gowda Shaw allows following entities to bill medicare on her behalf.

Entity Name	Modern Pain Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164451308 PECOS PAC ID: 1153374038 Enrollment ID: O20050303000074

Entity Name	Pain & Spine Institute Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578610176 PECOS PAC ID: 7618979170 Enrollment ID: O20070213000166

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. Mrs Suman Gowda 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
Mrs Suman Gowda Shaw, FNP-BC 10930 Cortland Ln, Huntley, IL 60142-4075 Ph: (224) 678-2181	Mrs Suman Gowda Shaw, FNP-BC 744 Essington Rd, Joliet, IL 60435-4912 Ph: (815) 729-0700

Reviews and Comments

Nurse Practitioner Nurses in Joliet, IL

Tasha Dawn Horsley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431 Phone: 815-409-4930 Fax: 815-741-3263
Sherri L Albert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3201 Fax: 815-741-6293
Mrs. Theresa Donley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Black Rd, Joliet, IL 60435 Phone: 815-823-8164
Dolly Osas Agba, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Neal Ave, Joliet, IL 60433 Phone: 815-727-8670 Fax: 815-740-8149
Danielle Marie Ratazak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St, Joliet, IL 60436 Phone: 815-634-0100
Stacey Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Theodore St Ste 201, Joliet, IL 60435 Phone: 815-744-5550
Maureen Ann Gorszczyk, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104

Mrs Suman Gowda Shaw, FNP-BC - Medicare Nurse Practitioner in Joliet, IL