Mr Aqua Shaw, APRN, FNP-C - Medicare Nurse Practitioner in New Iberia, LA

Mr Aqua Shaw, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in New Iberia, Louisiana. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Main Street Emergency Group Llc and his current practice location is 2315 E Main St, New Iberia, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 364-0441.

Mr Aqua Shaw is licensed to practice in Louisiana (license number 221923) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285303958.

Contact Information

Mr Aqua Shaw, APRN, FNP-C
2315 E Main St,
New Iberia, LA 70560-4031
(337) 364-0441
Not Available



Provider's Profile

Full NameMr Aqua Shaw
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location2315 E Main St, New Iberia, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Aqua Shaw graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1285303958
  • Provider Enumeration Date: 09/07/2021
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507257334
  • Enrollment ID: I20220105000276

Medical Identifiers

Medical identifiers for Mr Aqua Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285303958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 221923 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Street Emergency Group Llc488091701229

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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. Mr Aqua Shaw allows following entities to bill medicare on his behalf.
Entity NameMain Street Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750796041
PECOS PAC ID: 4880917012
Enrollment ID: O20141219001279

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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. Mr Aqua 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
Mr Aqua Shaw, APRN, FNP-C
11110 Boardwalk Dr Apt 21,
Baton Rouge, LA 70816-8394

Ph: () -
Mr Aqua Shaw, APRN, FNP-C
2315 E Main St,
New Iberia, LA 70560-4031

Ph: (337) 364-0441

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Nurse Practitioner Nurses in New Iberia, LA

Mr. Jonathan A Seghorn, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 806 Jefferson Ter, New Iberia, LA 70560
Phone: 337-365-4945    
Mrs. Alison T. Cantrall, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2309 E Main St, Suite 301, New Iberia, LA 70560
Phone: 337-364-4415    Fax: 337-364-4495
Allyson Hebert, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2308 E Main St Ste B, New Iberia, LA 70560
Phone: 337-369-3683    Fax: 877-796-6140
Ashley Robicheaux, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1110 E Saint Peter St, New Iberia, LA 70560
Phone: 337-364-1166    
Nichole Baucan, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 806 Jefferson Ter, New Iberia, LA 70560
Phone: 337-365-4945    Fax: 337-367-3917
Erin Elizabeth Perek, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1110 E Saint Peter St, New Iberia, LA 70560
Phone: 337-364-1166    Fax: 337-364-7090
Lisa L Freyou, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Lewis St, Suite 100, New Iberia, LA 70563
Phone: 337-367-5200    Fax: 337-369-3074

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