Tera Marie Shaw, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in West Milton, Ohio. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Care Group Pc and her current practice location is
407 N. Miami St, West Milton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 430-2213.
Tera Marie Shaw is licensed to practice in Ohio (license number APRN.CNP.0034001) 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 1760166904.
Provider's Profile
| Full Name | Tera Marie Shaw |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 407 N. Miami St, West Milton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tera Marie Shaw graduated from nursing school in 2023
NPI Data:
- NPI Number: 1760166904
- Provider Enumeration Date: 06/08/2023
- Last Update Date: 06/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698129690
- Enrollment ID: I20230925003148
Medical Identifiers
Medical identifiers for Tera Marie Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760166904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0034001 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hospital Care Group Pc | 7416107487 | 31 |
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. Tera Marie Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Premier Health Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010 |
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| Entity Name | Hospital Care Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295083624
PECOS PAC ID: 7416107487
Enrollment ID: O20121029000378 |
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| Entity Name | Sinclair Physician Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063289601
PECOS PAC ID: 9830536911
Enrollment ID: O20240325002978 |
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| Entity Name | Hisey Physician Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073380614
PECOS PAC ID: 8426495292
Enrollment ID: O20240328002362 |
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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. Tera Marie 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 |
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Tera Marie Shaw, APRN
407 N Miami St,
West Milton, OH 45383-1911
Ph: (937) 430-2213 | Tera Marie Shaw, APRN
407 N. Miami St,
West Milton, OH 45383
Ph: (937) 430-2213 |
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