Dr Parvonae Shaw P A - Medicare Mental Health Clinic in Plantation, FL

Dr Parvonae Shaw P A is a medicare enrolled mental health clinic (Psychologist) in Plantation, Florida. The current practice location for Dr Parvonae Shaw P A is 840 Azalea Ct, Plantation, Florida. For appointments, you can reach them via phone at (954) 205-4369. The mailing address for Dr Parvonae Shaw P A is 840 Azalea Ct, Plantation, Florida and phone number is () -.

Dr Parvonae Shaw P A is licensed to practice in Florida (license number 7580). The clinic also participates in the medicare program and its NPI number is 1083860019. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 205-4369.

Contact Information

Dr Parvonae Shaw P A
840 Azalea Ct
Plantation
FL 33317-1202
(954) 205-4369
Not Available

Mental Health Clinic Profile

Full NameDr Parvonae Shaw P A
SpecialityPsychologist
Location840 Azalea Ct, Plantation, Florida
Authorized Official Name and PositionParvonae Shaw (PRESIDENT/PSYCHOLOGIST)
Authorized Official Contact9542054369
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Parvonae Shaw P A
840 Azalea Ct
Plantation
FL 33317-1202

Ph: () -
Dr Parvonae Shaw P A
840 Azalea Ct
Plantation
FL 33317-1202

Ph: (954) 205-4369

NPI Details:

NPI Number1083860019
Provider Enumeration Date08/11/2008
Last Update Date01/20/2010

Medicare PECOS Information:

Medicare PECOS PAC ID3870641954
Medicare Enrollment IDO20090429000213

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Medical Identifiers

Medical identifiers for Dr Parvonae Shaw P A such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083860019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 7580 (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. Dr Parvonae Shaw P A acts as a billing entity for following providers:
Provider NameParvonae M Shaw
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760679690
PECOS PAC ID: 4082797451
Enrollment ID: I20080320000527

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