Tori A Shaw, FNP in Mesa, AZ - Medicare Nurse Practitioner

Tori A Shaw, FNP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 5555 E Baseline Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 393-0575.

Tori A Shaw is licensed to practice in Arizona (license number 315937) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144042342.

Contact Information

	Tori A Shaw, FNP
	5555 E Baseline Rd, Mesa, AZ 85206-4709
	(480) 393-0575
	Not Available

Map and Direction

Provider's Profile

Full Name	Tori A Shaw
Gender	Female
Speciality	Nurse Practitioner
Location	5555 E Baseline Rd, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144042342
Provider Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7810422797
Enrollment ID: I20241202002202

Medical Identifiers

Medical identifiers for Tori A Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144042342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	315937 (Arizona)	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. Tori A Shaw allows following entities to bill medicare on her behalf.

Entity Name	Reddy Gi Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194957241 PECOS PAC ID: 1557407459 Enrollment ID: O20091007000333

Entity Name	Central Arizona Gi & Liver Institute Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1164871075 PECOS PAC ID: 1052695095 Enrollment ID: O20170310001948

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. Tori A 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
Tori A Shaw, FNP 3926 E Sidesaddle Rd, San Tan Valley, AZ 85140-1637 Ph: (520) 709-8902	Tori A Shaw, FNP 5555 E Baseline Rd, Mesa, AZ 85206-4709 Ph: (480) 393-0575

Reviews and Comments

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Tori A Shaw, FNP - Medicare Nurse Practitioner in Mesa, AZ