Mrs Kaitlin Elizabeth Shaw, in Moore, OK - Medicare Physician Assistant

Mrs Kaitlin Elizabeth Shaw, is a medicare enrolled "Physician Assistant" in Moore, Oklahoma. Her current practice location is 2900 S Telephone Rd Ste 250, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 237-7500.

Mrs Kaitlin Elizabeth Shaw is licensed to practice in * (Not Available) (license number ) 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 1104440619.

Contact Information

	Mrs Kaitlin Elizabeth Shaw,
	2900 S Telephone Rd Ste 250, Moore, OK 73160-2969
	(405) 237-7500
	(405) 237-7512

Provider's Profile

Full Name	Mrs Kaitlin Elizabeth Shaw
Gender	Female
Speciality	Physician Assistant
Location	2900 S Telephone Rd Ste 250, Moore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104440619
Provider Enumeration Date: 05/31/2020
Last Update Date: 08/12/2020

Medicare PECOS Information:

PECOS PAC ID: 5496174872
Enrollment ID: I20210716000971

Medical Identifiers

Medical identifiers for Mrs Kaitlin Elizabeth Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104440619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Mrs Kaitlin Elizabeth 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
Mrs Kaitlin Elizabeth Shaw, 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 Ph: (405) 237-7500	Mrs Kaitlin Elizabeth Shaw, 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 Ph: (405) 237-7500

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Physician Assistant Nurses in Moore, OK

Leah Sitton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Se 4th St, Moore, OK 73160 Phone: 405-703-9321
Mrs. Jessica Elise Jackson, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2109 S Santa Fe Ave, Moore, OK 73160 Phone: 405-213-0256
Mr. Tim M Laing, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355
Randall Allen Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Se 4th St Ste H, Moore, OK 73160 Phone: 405-799-7400 Fax: 405-799-7405
Kenneth Demasters, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 507 Ne 12th St, Moore, OK 73160 Phone: 405-703-4202
Makenzi Lane Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492

Mrs Kaitlin Elizabeth Shaw, - Medicare Physician Assistant in Moore, OK