| Olivia Shaw, | |
|
5240 Socialville Foster Rd, Mason, OH 45040-9302 | |
| (513) 231-5698 | |
| Not Available |
| Full Name | Olivia Shaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5240 Socialville Foster Rd, Mason, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487235529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Woodstream Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265001234 PECOS PAC ID: 8527462506 Enrollment ID: O20210812003526 |
| Entity Name | Tecs Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598632358 PECOS PAC ID: 5294228938 Enrollment ID: O20251202002146 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Shaw, 7790 Woodbridge Ct, Springboro, OH 45066-9181 Ph: Not Available | Olivia Shaw, 5240 Socialville Foster Rd, Mason, OH 45040-9302 Ph: (513) 231-5698 |
Laura Rochelle Knoop, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 969 Reading Rd Ste N, Mason, OH 45040 Phone: 513-604-1004 Fax: 513-437-0571 |
Vanessa Graham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5240 Socialville Foster Rd, Mason, OH 45040 Phone: 513-231-5698 |
Vraj Patel, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3796 Silver Queen Ct, Mason, OH 45036 Phone: 917-348-0523 |
Elizabeth Barnes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 Phone: 513-454-7246 Fax: 513-438-0202 |
Brian C Mauch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4859 Nixon Park Dr, Mason, OH 45040 Phone: 513-354-3700 |
Ms. Gretchen I. Brannon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6010 S Mason Montgomery Rd, Mason, OH 45040 Phone: 513-246-7000 Fax: 513-202-6355 |
Kelly Maria Sulek, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3922 Marquis Ln, Mason, OH 45040 Phone: 513-767-4614 |