Stacie R Shaw, PAC - Medicare Physician Assistant in Daggett, MI

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Stacie R Shaw, PAC is a medicare enrolled "Physician Assistant" in Daggett, Michigan. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oconto Hospital And Medical Center Inc, Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc, Bellin Memorial Hospital Inc and her current practice location is 106 S School Road, Daggett, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 753-2155.

Stacie R Shaw is licensed to practice in Michigan (license number 5601005068) 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 1689784837.

Contact Information

Stacie R Shaw, PAC
106 S School Road,
Daggett, MI 49821
(906) 753-2155
(906) 753-2716

Map and Direction




Provider's Profile

Full NameStacie R Shaw
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location106 S School Road, Daggett, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacie R Shaw graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1689784837
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 01/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4688568298
  • Enrollment ID: I20070912000173

Medical Identifiers

Medical identifiers for Stacie R Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689784837NPI-NPPES
1031550OtherNATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS
42982000MedicaidWI
0N41200012OtherMIMICHIGAN MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1117 (Wisconsin)Secondary
363A00000XPhysician Assistant 5601005068 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Up Health System Home Care And HospiceMarquette, MIHome health agency
Osf St Francis Hospital Home Health Care Escanaba, MIHome health agency
Aurora Medical Center Bay AreaMarinette, WIHospital
Bellin Memorial HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oconto Hospital And Medical Center Inc2163461781217
Oconto Hospital And Medical Center Inc2163461781217
Bellin Memorial Hospital Inc8820900749685
Bellin Memorial Hospital Inc8820900749685

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. Stacie R Shaw allows following entities to bill medicare on her behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376649509
PECOS PAC ID: 8820900749
Enrollment ID: O20061218000510
Entity NameOconto Hospital & Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356799969
PECOS PAC ID: 2163461781
Enrollment ID: O20161123001560

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. Stacie R 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
Stacie R Shaw, PAC
744 S Webster Ave, Medical Staff Services,
Green Bay, WI 54301-3505

Ph: (920) 433-7860		Stacie R Shaw, PAC
106 S School Road,
Daggett, MI 49821

Ph: (906) 753-2155

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.