Jordan Shelley, DPT in Evanston, IL - Medicare Physical Therapist Provider

Jordan Shelley, DPT is a medicare enrolled "Physical Therapist" provider in Evanston, Illinois. His current practice location is 1704 Maple Ave Ste 200, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 926-0106.

Jordan Shelley is licensed to practice in Illinois (license number 070022538) 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 1669827515.

Contact Information

	Jordan Shelley, DPT
	1704 Maple Ave Ste 200, Evanston, IL 60201-3134
	(847) 926-0106
	(312) 694-2020

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Shelley
Gender	Male
Speciality	Physical Therapist
Location	1704 Maple Ave Ste 200, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669827515
Provider Enumeration Date: 04/28/2016
Last Update Date: 12/08/2022

Medicare PECOS Information:

PECOS PAC ID: 2264727312
Enrollment ID: I20160829000828

Medical Identifiers

Medical identifiers for Jordan Shelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669827515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070022538 (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. Jordan Shelley allows following entities to bill medicare on his behalf.

Provider Name	Northwestern Medical Faculty Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Jordan Shelley 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
Jordan Shelley, DPT 1704 Maple Ave Ste 200, Evanston, IL 60201-3134 Ph: (847) 926-0106	Jordan Shelley, DPT 1704 Maple Ave Ste 200, Evanston, IL 60201-3134 Ph: (847) 926-0106

Reviews and Comments

Physical Therapist in Evanston, IL

Ryan Perry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 Emerson St, Evanston, IL 60201 Phone: 847-570-9861
Ms. Teresa Maciejczyk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1729 Benson Ave, Evanston, IL 60201 Phone: 847-570-7170 Fax: 847-570-7172
Lee Davimes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1629 Chicago Ave, Evanston, IL 60201 Phone: 847-475-1630 Fax: 847-475-1631
Aimee Jane Aledia Pena, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Asbury Ave, Evanston, IL 60202 Phone: 847-316-3320
Aime Maranan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 839 Dodge Ave, Evanston, IL 60202 Phone: 847-859-6384
Patricia Simmons Anderson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Cleveland St, Evanston, IL 60202 Phone: 847-328-2405 Fax: 847-864-7806
Kellie Audra Banfield, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Davis St, Evanston, IL 60201 Phone: 847-864-1535 Fax: 847-864-1537

Jordan Shelley, DPT - Medicare Physical Therapist in Evanston, IL