Dr Joscelyn Celeste Shumate Bourne, PT, DPT, CSCS in Charlotte, NC

Dr Joscelyn Celeste Shumate Bourne, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Charlotte, North Carolina. Her current practice location is 5960 Fairview Rd Ste 250, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 224-7958.

Dr Joscelyn Celeste Shumate Bourne is licensed to practice in North Carolina (license number P18386) 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 1336506617.

Contact Information

	Dr Joscelyn Celeste Shumate Bourne, PT, DPT, CSCS
	5960 Fairview Rd Ste 250, Charlotte, NC 28210-0199
	(980) 224-7958
	(980) 224-7973

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joscelyn Celeste Shumate Bourne
Gender	Female
Speciality	Physical Therapist
Location	5960 Fairview Rd Ste 250, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336506617
Provider Enumeration Date: 01/18/2016
Last Update Date: 03/01/2020

Medicare PECOS Information:

PECOS PAC ID: 3971894841
Enrollment ID: I20171128001627

Medical Identifiers

Medical identifiers for Dr Joscelyn Celeste Shumate Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336506617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	039719-1 (New York)	Secondary
225100000X	Physical Therapist	8797 (South Carolina)	Secondary
2251S0007X	Physical Therapist - Sports	039719-1 (New York)	Secondary
2251X0800X	Physical Therapist - Orthopedic	039719-1 (New York)	Secondary
225100000X	Physical Therapist	P18386 (North Carolina)	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 Joscelyn Celeste Shumate Bourne allows following entities to bill medicare on her behalf.

Provider Name	Greenville Proaxis Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769

Provider Name	Ivyrehab Focus, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518105279 PECOS PAC ID: 5890851406 Enrollment ID: O20090306000118

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 Joscelyn Celeste Shumate Bourne 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
Dr Joscelyn Celeste Shumate Bourne, PT, DPT, CSCS 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (631) 580-5200	Dr Joscelyn Celeste Shumate Bourne, PT, DPT, CSCS 5960 Fairview Rd Ste 250, Charlotte, NC 28210-0199 Ph: (980) 224-7958

Reviews and Comments

Physical Therapist in Charlotte, NC

Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019
Gelt Haridhas Pushpa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897

Dr Joscelyn Celeste Shumate Bourne, PT, DPT, CSCS - Medicare Physical Therapist in Charlotte, NC