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CHARLOTTE B SHAW PA-C
NPI 1316219751
Physician Assistant - Medical in Bastrop, LA

Active since February 01, 2012PECOS EnrolledAccepts Medicare Assignment
510 S WASHINGTON ST, BASTROP, LA 71220(318) 281-8110(318) 281-8099 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlotte B Shaw Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE B SHAW PA-C (NPI 1316219751) is an individual medical provider in Bastrop, Louisiana, licensed in Louisiana (PA200515) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Morehouse General Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1316219751
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHARLOTTE B SHAWCredential: PA-C
Location Address510 S WASHINGTON STBastrop, LA 71220-5033
Mailing Address510 S Washington StBastrop, LA 71220-5033 · (318) 281-8110 · Fax (318) 281-8099
Phone(318) 281-8110
Fax(318) 281-8099
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 1, 2012
Last NPPES UpdateJuly 1, 2014
✔ NPI 1316219751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in LA · PA200515
510 S WASHINGTON ST, Bastrop, LA 71220
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN279923YQZTLA
Medicaid2316729LA
OtherPA200515LA · Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlotte B Shaw Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486817988
PECOS Enrollment IDI20120521000284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims14 services$4.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$105.64 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$208.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAUREN VYVIAL FNP
Nurse Practitioner (Family)
510 S WASHINGTON ST
BASTROP, LA 71220
Morehouse Parish (318) 281-8109
DELTA MEDICAL PRACTICES, L.L.C.
Internal Medicine
510 S WASHINGTON ST
BASTROP, LA 71220
Morehouse Parish (318) 556-3333
CLINTON A NETHERLAND, MD APMC
Family Medicine
510 S WASHINGTON ST
BASTROP, LA 71220
Morehouse Parish (318) 556-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlotte Shaw's NPI number?

The NPI number for Charlotte Shaw is 1316219751. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Where is Charlotte Shaw located?

Charlotte Shaw practices at 510 S Washington St, Bastrop, LA 71220. The listed phone number is (318) 281-8110.

What is Charlotte Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Charlotte Shaw enrolled in Medicare?

Yes. Charlotte Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Charlotte Shaw affiliated with any hospitals?

According to CMS data, Charlotte Shaw is affiliated with Morehouse General Hospital.

When was this NPI record last updated?

The NPPES record for Charlotte Shaw was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.