| Stacie R Shaw, PAC | |
|
106 S School Road, Daggett, MI 49821 | |
| (906) 753-2155 | |
| (906) 753-2716 |
| Full Name | Stacie R Shaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 106 S School Road, Daggett, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689784837 | NPI | - | NPPES |
| 1031550 | Other | NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS | |
| 42982000 | Medicaid | WI | |
| 0N41200012 | Other | MI | MICHIGAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1117 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 5601005068 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Up Health System Home Care And Hospice | Marquette, MI | Home health agency |
| St Francis Home Health Care | Escanaba, MI | Home health agency |
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Bay Area Medical Center | Marinette, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 218 |
| Oconto Hospital And Medical Center Inc | 2163461781 | 218 |
| Bellin Memorial Hospital Inc | 8820900749 | 679 |
| Bellin Memorial Hospital Inc | 8820900749 | 679 |
| Mailing Address | Practice 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 |