Mr Samuel Teagan Shaw, FNP-C in Twin Falls, ID - Medicare Nurse Practitioner

Mr Samuel Teagan Shaw, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Twin Falls, Idaho. His current practice location is 1835 Harrison St N Unit 16104, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 431-3570.

Mr Samuel Teagan Shaw is licensed to practice in Idaho (license number 73570) 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 1073248787.

Contact Information

	Mr Samuel Teagan Shaw, FNP-C
	1835 Harrison St N Unit 16104, Twin Falls, ID 83301-4294
	(208) 431-3570
	Not Available

Provider's Profile

Full Name	Mr Samuel Teagan Shaw
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1835 Harrison St N Unit 16104, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073248787
Provider Enumeration Date: 07/18/2022
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4789051244
Enrollment ID: I20221114000993

Medical Identifiers

Medical identifiers for Mr Samuel Teagan Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073248787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	73570 (Idaho)	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. Mr Samuel Teagan Shaw allows following entities to bill medicare on his behalf.

Entity Name	Sterling Provider Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205300407 PECOS PAC ID: 2264773373 Enrollment ID: O20190417001724

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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 Samuel Teagan 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
Mr Samuel Teagan Shaw, FNP-C 1835 Harrison St N Unit 16104, Twin Falls, ID 83301-4294 Ph: (208) 431-3570	Mr Samuel Teagan Shaw, FNP-C 1835 Harrison St N Unit 16104, Twin Falls, ID 83301-4294 Ph: (208) 431-3570

News Archive

Consumption of vended foods develop poor diet quality in children: Research

Women who prefer physically dominant partners tend to feel more at risk of crime

Missouri S&T researcher comes up with patented breast cancer screening device

COVID-19 collaborative program reduces mortality in long-term care facilities

Nurse Practitioner Nurses in Twin Falls, ID

Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Corinne Bartschi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301 Phone: 208-595-5095
Jerri L Bingham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000

Mr Samuel Teagan Shaw, FNP-C - Medicare Nurse Practitioner in Twin Falls, ID

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Consumption of vended foods develop poor diet quality in children: Research

Women who prefer physically dominant partners tend to feel more at risk of crime

Missouri S&T researcher comes up with patented breast cancer screening device

COVID-19 collaborative program reduces mortality in long-term care facilities

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Consumption of vended foods develop poor diet quality in children: Research

Women who prefer physically dominant partners tend to feel more at risk of crime

Missouri S&T researcher comes up with patented breast cancer screening device

COVID-19 collaborative program reduces mortality in long-term care facilities

Nurse Practitioner Nurses in Twin Falls, ID