Marissa Shupperd, DPT in Eagle, ID - Medicare Physical Therapy Provider

Marissa Shupperd, DPT is a medicare enrolled "Physical Therapist" provider in Eagle, Idaho. She went to Indiana University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Treasure Valley Pelvic Health Llc and her current practice location is 775 S Rivershore Ln Ste 220, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 435-8662.

Marissa Shupperd is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245901354.

Contact Information

	Marissa Shupperd, DPT
	775 S Rivershore Ln Ste 220, Eagle, ID 83616-5783
	(208) 435-8662
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Shupperd
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	775 S Rivershore Ln Ste 220, Eagle, Idaho
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marissa Shupperd attended and graduated from Indiana University School Of Medicine in 2021

NPI Data:

NPI Number: 1245901354
Provider Enumeration Date: 09/28/2021
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0042600314
Enrollment ID: I20240201004578

Medical Identifiers

Medical identifiers for Marissa Shupperd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245901354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Treasure Valley Pelvic Health Llc	4789929431	6

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. Marissa Shupperd allows following entities to bill medicare on her behalf.

Provider Name	Treasure Valley Pelvic Health Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689178469 PECOS PAC ID: 4789929431 Enrollment ID: O20181227001240

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. Marissa Shupperd 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
Marissa Shupperd, DPT 775 S Rivershore Ln Ste 220, Eagle, ID 83616-5783 Ph: (208) 435-8662	Marissa Shupperd, DPT 775 S Rivershore Ln Ste 220, Eagle, ID 83616-5783 Ph: (208) 435-8662

Reviews and Comments

Physical Therapist in Eagle, ID

Allison Andrews Boldridge, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039
Serin Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-297-3039 Fax: 208-416-6635
Kathryn L Stednitz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21 N Fisher Park Way, Eagle, ID 83616 Phone: 208-514-0670
Christopher Fox, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 645 E State St Ste 101, Eagle, ID 83616 Phone: 208-939-9594 Fax: 208-939-9828
Emily Verheijen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 S Fitness Pl Ste 110, Eagle, ID 83616 Phone: 208-629-1030 Fax: 208-346-7618
Ms. Megan Meduna, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 457 S Fitness Pl Ste 100, Eagle, ID 83616 Phone: 208-939-3332 Fax: 208-939-3338
Elise Talboy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 S Wooddale Pl, Eagle, ID 83616 Phone: 208-477-7363

Marissa Shupperd, DPT - Medicare Physical Therapist in Eagle, ID