David E Shaw Jr, LCSW in Tampa, FL - Medicare Social Worker Provider

David E Shaw Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tampa, Florida. His current practice location is 13000 Bruce B Downs Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 972-2000.

David E Shaw Jr is licensed to practice in Florida (license number 20915) 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 1063185437.

Contact Information

	David E Shaw Jr, LCSW
	13000 Bruce B Downs Blvd, Tampa, FL 33612-4745
	(813) 972-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David E Shaw Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	13000 Bruce B Downs Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063185437
Provider Enumeration Date: 07/30/2021
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8628436201
Enrollment ID: I20230614003447

Medical Identifiers

Medical identifiers for David E Shaw Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063185437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	ISW14147 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	20915 (Florida)	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. David E Shaw Jr allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. David E Shaw Jr 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
David E Shaw Jr, LCSW 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 Ph: (813) 972-2000	David E Shaw Jr, LCSW 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 Ph: (813) 972-2000

Reviews and Comments

Social Worker in Tampa, FL

Darlene H Allen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8000 Fax: 813-272-3766
Bryant C Barbour, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr., Tampa, FL 33605 Phone: 813-384-4079
Ms. Clarissia Brown, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2021 Busch Blvd, Tampa, FL 33612 Phone: 813-631-4370 Fax: 813-631-4399
Sasha J Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 N Gomez Ave, Tampa, FL 33609 Phone: 813-787-1623
Jennifer Faith Gobeli, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8905 Regents Park Dr Ste 230, Tampa, FL 33647 Phone: 727-314-5468
Monique Chevel Bell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4520 Oak Fair Blvd, Tampa, FL 33610 Phone: 813-542-5500
Janet Lynn Cramer, RCSWI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3205 W De Leon St Unit A, Tampa, FL 33609 Phone: 813-748-1147

David E Shaw Jr, LCSW - Medicare Clinical Social Worker in Tampa, FL