Domonique Shantae Beckham, PT, DPT in Boerne, TX - Medicare Physical Therapy Provider

Domonique Shantae Beckham, PT, DPT is a medicare enrolled "Physical Therapist" provider in Boerne, Texas. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Independent Physical Therapy Of Georgia Llc and her current practice location is 138 Old San Antonio Rd Ste 304, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 419-3144.

Domonique Shantae Beckham is licensed to practice in Texas (license number 1359208) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780152272.

Contact Information

	Domonique Shantae Beckham, PT, DPT
	138 Old San Antonio Rd Ste 304, Boerne, TX 78006-3491
	(210) 419-3144
	(210) 764-5098

Map and Direction

Healthcare Provider's Profile

Full Name	Domonique Shantae Beckham
Gender	Female
Speciality	Physical Therapy
Experience	6 Years
Location	138 Old San Antonio Rd Ste 304, Boerne, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Domonique Shantae Beckham graduated from medical school in 2018

NPI Data:

NPI Number: 1780152272
Provider Enumeration Date: 11/02/2018
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 3678810587
Enrollment ID: I20190131001024

Medical Identifiers

Medical identifiers for Domonique Shantae Beckham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780152272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-07109 (Kansas)	Secondary
225100000X	Physical Therapist	PT013764 (Georgia)	Secondary
225100000X	Physical Therapist	1359208 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independent Physical Therapy Of Georgia Llc	2961312244	447

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. Domonique Shantae Beckham allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20111018000281

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. Domonique Shantae Beckham 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
Domonique Shantae Beckham, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217	Domonique Shantae Beckham, PT, DPT 138 Old San Antonio Rd Ste 304, Boerne, TX 78006-3491 Ph: (210) 419-3144

Reviews and Comments

Physical Therapist in Boerne, TX

Mr. Michael Laudadio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 Pecan Pkwy, Boerne, TX 78006 Phone: 337-396-5656 Fax: 888-241-3028
Carpenter Health Management, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 South Main St., Boerne, TX 78006 Phone: 830-816-4357 Fax: 830-331-8718
Mrs. Laura Gail Kasprowicz, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 W Bandera Rd, Suite #9, Boerne, TX 78006 Phone: 830-249-7211 Fax: 830-249-4698
Victoria Cristal Perez, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1002 E Blanco Rd Ste B, Boerne, TX 78006 Phone: 830-331-8420
Dershie Bridgford Kurtz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 555 Prado Xing, Boerne, TX 78006 Phone: 830-230-5433 Fax: 830-230-5433
Joshua Samuel Heinrich, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 905 N Main St Ste 103, Boerne, TX 78006 Phone: 830-816-5333
William Meyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1102 River Rd, Boerne, TX 78006 Phone: 830-249-2799

Domonique Shantae Beckham, PT, DPT - Medicare Physical Therapist in Boerne, TX