Rebecca Anne Shaw, PMHNP-BC in Mesa, AZ - Medicare Nurse Practitioner

Rebecca Anne Shaw, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice 2nd Chance Treatment Centers Llc and her current practice location is 1140 E Greenway St Ste 1, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 296-4742.

Rebecca Anne Shaw is licensed to practice in Arizona (license number 262350) 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 1003405739.

Contact Information

	Rebecca Anne Shaw, PMHNP-BC
	1140 E Greenway St Ste 1, Mesa, AZ 85203-4359
	(480) 296-4742
	(480) 805-2184

Map and Direction

Provider's Profile

Full Name	Rebecca Anne Shaw
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1140 E Greenway St Ste 1, Mesa, Arizona
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:

Rebecca Anne Shaw graduated from nursing school in 2021

NPI Data:

NPI Number: 1003405739
Provider Enumeration Date: 01/17/2021
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8426449075
Enrollment ID: I20211215002679

Medical Identifiers

Medical identifiers for Rebecca Anne Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003405739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	262350 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
2nd Chance Treatment Centers Llc	6406178243	13

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. Rebecca Anne Shaw allows following entities to bill medicare on her behalf.

Entity Name	2nd Chance Treatment Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780098228 PECOS PAC ID: 6406178243 Enrollment ID: O20141204001738

Entity Name	I Am Wellness Az Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184354532 PECOS PAC ID: 8123497344 Enrollment ID: O20221211000016

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. Rebecca Anne 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
Rebecca Anne Shaw, PMHNP-BC 1131 S Pheasant Dr, Gilbert, AZ 85296-3062 Ph: (480) 296-4742	Rebecca Anne Shaw, PMHNP-BC 1140 E Greenway St Ste 1, Mesa, AZ 85203-4359 Ph: (480) 296-4742

Reviews and Comments

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Rebecca Anne Shaw, PMHNP-BC - Medicare Nurse Practitioner in Mesa, AZ