Timothy L Shaw, CRNA in Eagle River, AK - Medicare Nurse Anesthetist, Certified Registered

Timothy L Shaw, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Eagle River, Alaska. His current practice location is 11055 Owhat Cir, Eagle River, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 227-9592.

Timothy L Shaw is licensed to practice in Alaska (license number 26580) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124092002.

Contact Information

	Timothy L Shaw, CRNA
	11055 Owhat Cir, Eagle River, AK 99577-8226
	(907) 227-9592
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy L Shaw
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	11055 Owhat Cir, Eagle River, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124092002
Provider Enumeration Date: 02/15/2006
Last Update Date: 05/25/2010

Medicare PECOS Information:

PECOS PAC ID: 9830227404
Enrollment ID: I20100503000713

Medical Identifiers

Medical identifiers for Timothy L Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124092002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	26580 (Alaska)	Primary

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. Timothy L Shaw allows following entities to bill medicare on his behalf.

Entity Name	Alpine Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750600995 PECOS PAC ID: 1153519525 Enrollment ID: O20101229000650

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. Timothy L 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
Timothy L Shaw, CRNA 11055 Owhat Cir, Eagle River, AK 99577-8226 Ph: (907) 227-9592	Timothy L Shaw, CRNA 11055 Owhat Cir, Eagle River, AK 99577-8226 Ph: (907) 227-9592

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Eagle River, AK

Mr. James J Pfeiffer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16526 Baird Cir, Eagle River, AK 99577 Phone: 907-622-3395
George Ralph Moseley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 17486 Yellowstone Dr, Eagle River, AK 99577 Phone: 907-726-0937
Jacob Szajkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30258 Eklund Ave, Eagle River, AK 99577 Phone: 970-692-7911

Timothy L Shaw, CRNA - Medicare Nurse Anesthetist, Certified Registered in Eagle River, AK