Kimberly Dawn Shaw, CNM - Medicare Advanced Practice Midwife in Greensboro, NC

Kimberly Dawn Shaw, CNM is a medicare enrolled "Advanced Practice Midwife" in Greensboro, North Carolina. Her current practice location is 930 3rd St, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 890-3200.

Kimberly Dawn Shaw is licensed to practice in North Carolina (license number 290) 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 1639241490.

Contact Information

Kimberly Dawn Shaw, CNM
930 3rd St,
Greensboro, NC 27405-6967
(336) 890-3200
(336) 890-3290



Provider's Profile

Full NameKimberly Dawn Shaw
GenderFemale
SpecialityAdvanced Practice Midwife
Location930 3rd St, Greensboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639241490
  • Provider Enumeration Date: 11/15/2006
  • Last Update Date: 08/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537112073
  • Enrollment ID: I20050224000854

Medical Identifiers

Medical identifiers for Kimberly Dawn Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639241490NPI-NPPES
10643OtherNCACNM CERTIFICATE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 290 (North Carolina)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. Kimberly Dawn Shaw allows following entities to bill medicare on her behalf.
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356372064
PECOS PAC ID: 6204744600
Enrollment ID: O20031124000541

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Entity NameArmc Physicians Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881938405
PECOS PAC ID: 4284623497
Enrollment ID: O20040511001278

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Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202

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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. Kimberly Dawn 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 AddressPractice Location Address
Kimberly Dawn Shaw, CNM
930 3rd St,
Greensboro, NC 27405-6967

Ph: (336) 890-3200
Kimberly Dawn Shaw, CNM
930 3rd St,
Greensboro, NC 27405-6967

Ph: (336) 890-3200

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› Verified 7 days ago


Advanced Practice Midwife Nurses in Greensboro, NC

Rolitta Marshall Dawson, MSN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 930 3rd St, Greensboro, NC 27405
Phone: 336-890-3200    Fax: 336-890-3290
Vivian Grice,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 3200 Northline Ave Ste 130, Greensboro, NC 27408
Phone: 336-286-6565    Fax: 336-286-6566
Ms. Vicki Legrand Latham, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Northline Ave., Ste 130, Greensboro, NC 27408
Phone: 336-286-6565    Fax: 336-286-6566
Jennifer Crumpler, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 3200 Northline Ave Ste 130, Greensboro, NC 27408
Phone: 336-286-6565    
Lisa Leftwich-kirby, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 801 Green Valley Rd, Greensboro, NC 27408
Phone: 336-832-6614    
Mrs. Meredith Sigmon, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1908 Lendew St, Greensboro, NC 27408
Phone: 336-273-2835    Fax: 336-274-4594
Mrs. Melanie Noyes Bhambri, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1908 Lendew St, Greensboro, NC 27408
Phone: 336-273-2835    Fax: 336-274-4594

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