Dr Marie Shaw, HSP-P is a medicare enrolled "Psychologist - Counseling" provider in Elon, North Carolina. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is
105 E Trollinger Ave, Elon, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 202-6634.
Dr Marie Shaw is licensed to practice in North Carolina (license number 4989) 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 1528505534.
Healthcare Provider's Profile
| Full Name | Dr Marie Shaw |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 14 Years |
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| Location | 105 E Trollinger Ave, Elon, North Carolina |
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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:
- Dr Marie Shaw graduated from medical school in 2010
NPI Data:
- NPI Number: 1528505534
- Provider Enumeration Date: 01/27/2017
- Last Update Date: 08/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385056589
- Enrollment ID: I20201211001595
Medical Identifiers
Medical identifiers for Dr Marie Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528505534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | 4989 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wake Forest University Health Sciences | 4486564952 | 1987 |
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. Dr Marie Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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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. Dr 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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Dr Marie Shaw, HSP-P
1183 University Dr, Suite 105 #1016,
Burlington, NC 27215
Ph: () - | Dr Marie Shaw, HSP-P
105 E Trollinger Ave,
Elon, NC 27244-9428
Ph: (336) 202-6634 |
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