Ms Stacey Lynn Shaw, APRN - Medicare Nurse Practitioner in Myrtle Beach, SC

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Ms Stacey Lynn Shaw, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Myrtle Beach, South Carolina. Her current practice location is 607 Briarwood Dr Ste 6, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (854) 237-5617.

Ms Stacey Lynn Shaw is licensed to practice in South Carolina (license number 20127) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093226789.

Contact Information

Ms Stacey Lynn Shaw, APRN
607 Briarwood Dr Ste 6,
Myrtle Beach, SC 29572-6733
(854) 237-5617
(854) 237-5618

Map and Direction




Provider's Profile

Full NameMs Stacey Lynn Shaw
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location607 Briarwood Dr Ste 6, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093226789
  • Provider Enumeration Date: 10/20/2017
  • Last Update Date: 06/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2567720592
  • Enrollment ID: I20190312002652

Medical Identifiers

Medical identifiers for Ms Stacey Lynn Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093226789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 20127 (South Carolina)Primary

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. Ms Stacey Lynn Shaw allows following entities to bill medicare on her behalf.
Entity NameSouth Carolina Dept Of Mental Health Accounting Office
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295332690
PECOS PAC ID: 9032021175
Enrollment ID: O20031107000041
Entity NameCharleston Counseling Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316375678
PECOS PAC ID: 6204125107
Enrollment ID: O20160517000323
Entity NameRiver Region Psychiatry Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386891497
PECOS PAC ID: 1254491012
Enrollment ID: O20231127000607

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. Ms Stacey Lynn 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
Ms Stacey Lynn Shaw, APRN
607 Briarwood Dr Ste 6,
Myrtle Beach, SC 29572-6733

Ph: (854) 237-5617		Ms Stacey Lynn Shaw, APRN
607 Briarwood Dr Ste 6,
Myrtle Beach, SC 29572-6733

Ph: (854) 237-5617

Reviews and Comments


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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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