Miss Shannon L Nelson, PT in Gallup, NM - Medicare Physical Therapist Provider

Miss Shannon L Nelson, PT is a medicare enrolled "Physical Therapist" provider in Gallup, New Mexico. Her current practice location is 516 E. Nizhoni Blvd., Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Miss Shannon L Nelson is licensed to practice in New Mexico (license number 3051) 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 1699941062.

Contact Information

	Miss Shannon L Nelson, PT
	516 E. Nizhoni Blvd., Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1226

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Shannon L Nelson
Gender	Female
Speciality	Physical Therapist
Location	516 E. Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699941062
Provider Enumeration Date: 05/05/2008
Last Update Date: 07/27/2012

Medicare PECOS Information:

PECOS PAC ID: 6103082854
Enrollment ID: I20120724000680

Medical Identifiers

Medical identifiers for Miss Shannon L Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699941062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3051 (New Mexico)	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. Miss Shannon L Nelson allows following entities to bill medicare on her behalf.

Provider Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Miss Shannon L Nelson 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
Miss Shannon L Nelson, PT P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Miss Shannon L Nelson, PT 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Physical Therapist in Gallup, NM

Shantel Blume, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Nancy Canto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800 Fax: 505-721-1899
Christine Sanchez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Natasha Hite, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Maloney Ave, Gallup, NM 87301 Phone: 505-488-2615
Maya Rose Bernadett-peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mrs. Liberty Javenia Ang, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1839
Lynn Torres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Boardman Dr, Gallup, NM 87301 Phone: 505-722-9188 Fax: 505-926-0910

Miss Shannon L Nelson, PT - Medicare Physical Therapist in Gallup, NM