Mrs Shanna A Jimerson, PT in Southaven, MS - Medicare Physical Therapist Provider

Mrs Shanna A Jimerson, PT is a medicare enrolled "Physical Therapist" provider in Southaven, Mississippi. Her current practice location is 3451 Goodman Rd E Ste 108, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 890-6953.

Mrs Shanna A Jimerson is licensed to practice in Mississippi (license number PT6112) 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 1891092722.

Contact Information

	Mrs Shanna A Jimerson, PT
	3451 Goodman Rd E Ste 108, Southaven, MS 38672-9305
	(662) 890-6953
	(662) 890-6954

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shanna A Jimerson
Gender	Female
Speciality	Physical Therapist
Location	3451 Goodman Rd E Ste 108, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891092722
Provider Enumeration Date: 02/11/2011
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 3577749779
Enrollment ID: I20170502000463

Medical Identifiers

Medical identifiers for Mrs Shanna A Jimerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891092722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT3331 (Arkansas)	Secondary
225100000X	Physical Therapist	PTH6346 (Alabama)	Secondary
225100000X	Physical Therapist	PT6112 (Mississippi)	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. Mrs Shanna A Jimerson allows following entities to bill medicare on her behalf.

Provider Name	Dynamic Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1194102434 PECOS PAC ID: 6103138326 Enrollment ID: O20150701000281

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. Mrs Shanna A Jimerson 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
Mrs Shanna A Jimerson, PT Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350	Mrs Shanna A Jimerson, PT 3451 Goodman Rd E Ste 108, Southaven, MS 38672-9305 Ph: (662) 890-6953

Reviews and Comments

Physical Therapist in Southaven, MS

Parker P Haberstroh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029
Michael Newton Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672 Phone: 662-890-6953
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208
Lacey Moody, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954
Mrs. Jennifer Dixon Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 Fax: 901-759-3216

Mrs Shanna A Jimerson, PT - Medicare Physical Therapist in Southaven, MS