Mrs Shannon C Ardis, MPT is a medicare enrolled "Physical Therapist" provider in Hemingway, South Carolina. Her current practice location is
401 N Main St, Suite B, Hemingway, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 558-4830.
Mrs Shannon C Ardis is licensed to practice in South Carolina (license number 4136) 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 1912098021.
Healthcare Provider's Profile
| Full Name | Mrs Shannon C Ardis |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 401 N Main St, Hemingway, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912098021
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 08/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 9931574928
- Enrollment ID: I20230404003032
Medical Identifiers
Medical identifiers for Mrs Shannon C Ardis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912098021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 4136 (South Carolina) | 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 Shannon C Ardis allows following entities to bill medicare on her behalf.
| Provider Name | Three Rivers Therapy Associates, Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1326084849
PECOS PAC ID: 6709893209
Enrollment ID: O20230329002108 |
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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 Shannon C Ardis 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 |
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Mrs Shannon C Ardis, MPT
401 2nd Loop Rd Ste A,
Florence, SC 29505-2815
Ph: (843) 669-3665 | Mrs Shannon C Ardis, MPT
401 N Main St, Suite B,
Hemingway, SC 29554-9191
Ph: (843) 558-4830 |
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