Christopher Shane Smith, in Peru, IL - Medicare Physical Therapist Provider

Christopher Shane Smith, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Peru, Illinois. His current practice location is 1400 Midtown Road, Peru, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 223-8600.

Christopher Shane Smith is licensed to practice in Illinois (license number 070.015326) 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 1003281668.

Contact Information

	Christopher Shane Smith,
	1400 Midtown Road, Peru, IL 61354
	(815) 223-8600
	(815) 223-4667

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Shane Smith
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	1400 Midtown Road, Peru, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003281668
Provider Enumeration Date: 12/08/2015
Last Update Date: 12/08/2015

Medicare PECOS Information:

PECOS PAC ID: 4082064068
Enrollment ID: I20240103002878

Medical Identifiers

Medical identifiers for Christopher Shane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003281668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	070.015326 (Illinois)	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. Christopher Shane Smith allows following entities to bill medicare on his behalf.

Provider Name	West Tennessee Bone And Joint Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831312461 PECOS PAC ID: 7517940182 Enrollment ID: O20040612000702

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. Christopher Shane Smith 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
Christopher Shane Smith, 1400 Midtown Road, Peru, IL 61354 Ph: (815) 223-8600	Christopher Shane Smith, 1400 Midtown Road, Peru, IL 61354 Ph: (815) 223-8600

Reviews and Comments

Physical Therapist in Peru, IL

City Center Physical Therapy - Peru, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1627 4th St, Peru, IL 61354 Phone: 815-223-4479 Fax: 815-223-4489
Gary Joseph Kistenfeger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Midtown Rd, Peru, IL 61354 Phone: 815-223-8600
Luke Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Rock St, Suite E, Peru, IL 61354 Phone: 815-220-0058 Fax: 815-550-0082
Moira Sibbaluca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4231 Progress Blvd, Peru, IL 61354 Phone: 815-326-5924
Mr. Spalding L Slevin Iv, PT, CMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Midtown Rd, Peru, IL 61354 Phone: 815-538-1354 Fax: 815-538-1361
Dr. Kory David Tieman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1627 4th St, Peru, IL 61354 Phone: 815-223-4479

Christopher Shane Smith, - Medicare Physical Therapist in Peru, IL