| Shaw Medical Group Llc | |
|
947 Barefoot Blvd Barefoot Bay FL 32976-7101 | |
| (321) 593-6999 | |
| (321) 327-2262 |
| Full Name | Shaw Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 947 Barefoot Blvd, Barefoot Bay, Florida |
| Authorized Official Name and Position | Carmencita E Shaw (PROVIDER) |
| Authorized Official Contact | 3215936999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaw Medical Group Llc 947 Barefoot Blvd Barefoot Bay FL 32976-7101 Ph: (321) 593-6999 | Shaw Medical Group Llc 947 Barefoot Blvd Barefoot Bay FL 32976-7101 Ph: (321) 593-6999 |
| NPI Number | 1255884938 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 7719262773 |
|---|---|
| Medicare Enrollment ID | O20170315000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255884938 | NPI | - | NPPES |
| 019884700 | Medicaid | FL | |
| 019879900 | Medicaid | FL |
| Provider Name | Pio M Sian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124292065 PECOS PAC ID: 9931176757 Enrollment ID: I20040913000246 |
| Provider Name | Carmencita E Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225402118 PECOS PAC ID: 7416226311 Enrollment ID: I20170710000740 |
| Provider Name | Monica Robaina Melius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972177764 PECOS PAC ID: 8426452574 Enrollment ID: I20210811001921 |
Medicsolutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 Ron Beatty Blvd, Barefoot Bay, FL 32976 Phone: 772-664-8171 Fax: 772-664-8186 | |
Indian River Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 937 Barefoot Blvd, Barefoot Bay, FL 32976 Phone: 772-664-4349 |