Tommora A Shaw, ARNP - Medicare Nurse Practitioner in Council Bluffs, IA

Tommora A Shaw, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Council Bluffs, Iowa. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alegent Creighton Clinic and her current practice location is 800 Mercy Dr, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 328-5490.

Tommora A Shaw is licensed to practice in Nebraska (license number 111050) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154558765.

Contact Information

Tommora A Shaw, ARNP
800 Mercy Dr,
Council Bluffs, IA 51503-3128
(712) 328-5490
(712) 325-2499



Provider's Profile

Full NameTommora A Shaw
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location800 Mercy Dr, Council Bluffs, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tommora A Shaw graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1154558765
  • Provider Enumeration Date: 06/22/2009
  • Last Update Date: 05/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6800942830
  • Enrollment ID: I20100312000515

Medical Identifiers

Medical identifiers for Tommora A Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154558765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 111050 (Nebraska)Primary
363L00000XNurse Practitioner 122238 (Iowa)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi Health ImmanuelOmaha, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alegent Creighton Clinic1951210418827

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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. Tommora A Shaw allows following entities to bill medicare on her behalf.
Entity NameAlegent Creighton Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548287907
PECOS PAC ID: 1951210418
Enrollment ID: O20040407001314

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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. Tommora A 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
Tommora A Shaw, ARNP
7261 Mercy Rd,
Omaha, NE 68124-2311

Ph: (402) 398-6255
Tommora A Shaw, ARNP
800 Mercy Dr,
Council Bluffs, IA 51503-3128

Ph: (712) 328-5490

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Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503
Phone: 712-325-2484    
Mallory Lloyd, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 808 E Pierce St, Council Bluffs, IA 51503
Phone: 402-740-6503    
Michelle Rude, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 933 E Pierce St, Council Bluffs, IA 51503
Phone: 712-396-4360    Fax: 712-396-7069
Shannon Ranae Stafford, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501
Phone: 712-322-6650    Fax: 712-328-7985
Brian Luedke, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 933 E Pierce St, Council Bluffs, IA 51503
Phone: 712-396-4360    Fax: 712-396-7069
Ms. Emily Wickham,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501
Phone: 712-325-0022    
Jessalyn Brockman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Edmundson Pl Ste 200, Council Bluffs, IA 51503
Phone: 402-390-4111    Fax: 402-390-4115

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