Vladislav Shut, DPT is a medicare enrolled "Physical Therapist" physician in West Hollywood, California. His current practice location is
9201 W Sunset Blvd Ste M120, West Hollywood, California. You can reach out to his office (for appointments etc.) via phone at
(310) 246-1050.
Vladislav Shut is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1578501052.
Physician's Profile
| Full Name | Vladislav Shut |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 9201 W Sunset Blvd Ste M120, West Hollywood, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vladislav Shut attended and graduated from in
NPI Data:
- NPI Number: 1578501052
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 02/02/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Vladislav Shut such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578501052 | NPI | - | NPPES |
| 205559183 | Other | CA | TAX ID |
| PT32430 | Other | CA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PT32430 (California) | Secondary |
| 225100000X | Physical Therapist | (* (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. Vladislav Shut 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 |
|---|
Vladislav Shut, DPT
9201 W Sunset Blvd Ste M120,
West Hollywood, CA 90069-3714
Ph: (310) 246-1050 | Vladislav Shut, DPT
9201 W Sunset Blvd Ste M120,
West Hollywood, CA 90069-3714
Ph: (310) 246-1050 |
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