Kelly A Shaw, DPT in Lockport, IL - Medicare Physical Therapist Provider

Kelly A Shaw, DPT is a medicare enrolled "Physical Therapist" provider in Lockport, Illinois. Her current practice location is 1147 E 9th St, Lockport, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 834-9901.

Kelly A Shaw is licensed to practice in Illinois (license number 070026729) 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 1124759154.

Contact Information

	Kelly A Shaw, DPT
	1147 E 9th St, Lockport, IL 60441-3219
	(815) 834-9901
	(815) 834-9904

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly A Shaw
Gender	Female
Speciality	Physical Therapist
Location	1147 E 9th St, Lockport, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124759154
Provider Enumeration Date: 06/21/2022
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1557742384
Enrollment ID: I20220725002606

Medical Identifiers

Medical identifiers for Kelly A Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124759154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070026729 (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. Kelly A Shaw allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342

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. Kelly A Shaw 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
Kelly A Shaw, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980	Kelly A Shaw, DPT 1147 E 9th St, Lockport, IL 60441-3219 Ph: (815) 834-9901

Reviews and Comments

Physical Therapist in Lockport, IL

Theracore, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16622 W 159th St, Suite 503, Lockport, IL 60441 Phone: 815-838-5070
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Fyzical Therapy And Balance Centers Physical Therapist Medicare: Medicare Enrolled Practice Location: 16109 S Farrell Rd, Lockport, IL 60441 Phone: 847-848-4011
Angela S Thiel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1065 E 9th St, Lockport, IL 60441 Phone: 815-588-1366 Fax: 815-588-2010
Lockport Pain Management, Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Summit Dr, Lockport, IL 60441 Phone: 815-838-9441
Amy Goebbert, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 16622 W 159th St, Unit 503, Lockport, IL 60441 Phone: 630-204-2977

Kelly A Shaw, DPT - Medicare Physical Therapist in Lockport, IL