Mr Ravikumar K Shukla, RPT in Grand Rapids, MI - Medicare Physical Therapist Provider

Mr Ravikumar K Shukla, RPT is a medicare enrolled "Physical Therapist" provider in Grand Rapids, Michigan. His current practice location is 751 Kenmoor Ave Se, Suite # E, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 954-7013.

Mr Ravikumar K Shukla is licensed to practice in Michigan (license number 5501013597) 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 1356677835.

Contact Information

	Mr Ravikumar K Shukla, RPT
	751 Kenmoor Ave Se, Suite # E, Grand Rapids, MI 49546-2388
	(616) 954-7013
	(616) 954-7014

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ravikumar K Shukla
Gender	Male
Speciality	Physical Therapist
Location	751 Kenmoor Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356677835
Provider Enumeration Date: 10/19/2009
Last Update Date: 03/10/2011

Medicare PECOS Information:

PECOS PAC ID: 9133301815
Enrollment ID: I20110317000087

Medical Identifiers

Medical identifiers for Mr Ravikumar K Shukla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356677835	NPI	-	NPPES
5501013597	Other	MI	STATE OF MICHIGAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501013597 (Michigan)	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. Mr Ravikumar K Shukla allows following entities to bill medicare on his behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457868937 PECOS PAC ID: 6507832573 Enrollment ID: O20180205002852

Provider Name	Golden Inning
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518606128 PECOS PAC ID: 2668852948 Enrollment ID: O20220705000343

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. Mr Ravikumar K Shukla 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
Mr Ravikumar K Shukla, RPT 5511 W Us Highway 10, Suite # B, Ludington, MI 49431-2455 Ph: (231) 845-0900	Mr Ravikumar K Shukla, RPT 751 Kenmoor Ave Se, Suite # E, Grand Rapids, MI 49546-2388 Ph: (616) 954-7013

Reviews and Comments

Physical Therapist in Grand Rapids, MI

Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000

Mr Ravikumar K Shukla, RPT - Medicare Physical Therapist in Grand Rapids, MI