Mary Kristen Shipley, PT in Johnson City, TN - Medicare Physical Therapy Provider

Mary Kristen Shipley, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Johnson City, Tennessee. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Emergeortho Pa and her current practice location is 2410 Susannah St, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-9011.

Mary Kristen Shipley is licensed to practice in North Carolina (license number 11480) 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 1790963155.

Contact Information

	Mary Kristen Shipley, PT
	2410 Susannah St, Johnson City, TN 37601-1748
	(423) 282-9011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Kristen Shipley
Gender	Female
Speciality	Physical Therapy
Experience	17 Years
Location	2410 Susannah St, Johnson City, Tennessee
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:

Mary Kristen Shipley attended and graduated from East Tennessee State University Quillen College Of Medicine in 2007

NPI Data:

NPI Number: 1790963155
Provider Enumeration Date: 02/07/2008
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2860570561
Enrollment ID: I20080422000263

Medical Identifiers

Medical identifiers for Mary Kristen Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790963155	NPI	-	NPPES
Q36607A	Other	NC	MEDICARE PTAN
Q36607B	Other	NC	MEDICARE
1790963155	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11480 (North Carolina)	Secondary
2251X0800X	Physical Therapist - Orthopedic	11480 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergeortho Pa	0749188894	611

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. Mary Kristen Shipley allows following entities to bill medicare on her behalf.

Provider Name	Emergeortho Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000

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. Mary Kristen Shipley 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
Mary Kristen Shipley, PT 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011	Mary Kristen Shipley, PT 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011

Reviews and Comments

Physical Therapist in Johnson City, TN

Lauren Hope Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943
Alexis Beach, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044
Jacqueline Ann White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604 Phone: 423-328-3156
Jessica Story, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311
Olivia Cathryn Boles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3135 Peoples St Ste 404, Johnson City, TN 37604 Phone: 423-454-1006

Mary Kristen Shipley, PT - Medicare Physical Therapist in Johnson City, TN