Mr Charles Lewis Shadle, OT in Gainesville, GA - Medicare Occupational Therapist Provider

Mr Charles Lewis Shadle, OT is a medicare enrolled "Occupational Therapist" provider in Gainesville, Georgia. His current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 533-8252.

Mr Charles Lewis Shadle is licensed to practice in Georgia (license number OT002793) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336361310.

Contact Information

	Mr Charles Lewis Shadle, OT
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 533-8252
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Lewis Shadle
Gender	Male
Speciality	Occupational Therapist
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336361310
Provider Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1456885623
Enrollment ID: I20241111001276

Medical Identifiers

Medical identifiers for Mr Charles Lewis Shadle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336361310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT002793 (Georgia)	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. Mr Charles Lewis Shadle allows following entities to bill medicare on his behalf.

Provider Name	Center For The Visually Impaired
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497893671 PECOS PAC ID: 8527009034 Enrollment ID: O20050516000206

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. Mr Charles Lewis Shadle 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
Mr Charles Lewis Shadle, OT Po Box 1035, Lula, GA 30554-1035 Ph: (770) 869-0880	Mr Charles Lewis Shadle, OT 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 533-8252

Reviews and Comments

Occupational Therapist in Gainesville, GA

Krisi April Probert, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501 Phone: 770-539-9001 Fax: 770-539-9217
Tina Marie Black, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4502 Summer Gate Ct, Gainesville, GA 30506 Phone: 770-378-5986 Fax: 770-536-0346
Christa Perry Tullis, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 Spring St, Suite B, Gainesville, GA 30501 Phone: 770-532-5721 Fax: 770-532-5929
Shannon Randall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2030 Windward Ln, Gainesville, GA 30501 Phone: 770-535-8181
Brianna Lynn Brown, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 428 S Enota Dr Ne, Gainesville, GA 30501 Phone: 678-865-4947
Mr. Myron Westley Green, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 955 Interstate Ridge Dr Unit E, Gainesville, GA 30501 Phone: 678-936-8695
Charlie Turk Chapman, OTR/L, CPAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372

Mr Charles Lewis Shadle, OT - Medicare Occupational Therapist in Gainesville, GA