Dr Shenae Kayleen Lacroix, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sundance, Wyoming. Her current practice location is
2719 Wy-585, Sundance, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 203-1495.
Dr Shenae Kayleen Lacroix is licensed to practice in South Dakota (license number 2226) 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 1730706128.
Physician's Profile
| Full Name | Dr Shenae Kayleen Lacroix |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2719 Wy-585, Sundance, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730706128
- Provider Enumeration Date: 07/01/2020
- Last Update Date: 07/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284048802
- Enrollment ID: I20210122000145
Medical Identifiers
Medical identifiers for Dr Shenae Kayleen Lacroix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730706128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2226 (South Dakota) | 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. Dr Shenae Kayleen Lacroix allows following entities to bill medicare on her behalf.
| Entity Name | Peak Motion Physical Therapy, Inc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1649598517
PECOS PAC ID: 5395877328
Enrollment ID: O20191108002532 |
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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. Dr Shenae Kayleen Lacroix 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 |
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Dr Shenae Kayleen Lacroix, PT, DPT
1309 S Summit Ave Apt 4,
Newcastle, WY 82701-2981
Ph: () - | Dr Shenae Kayleen Lacroix, PT, DPT
2719 Wy-585,
Sundance, WY 82729
Ph: (307) 203-1495 |
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