Russell Shane Gregory, DPT in Saint Clair Shores, MI - Medicare Physical Therapist Provider

Russell Shane Gregory, DPT is a medicare enrolled "Physical Therapist" provider in Saint Clair Shores, Michigan. His current practice location is 24715 Little Mack Ave Ste 100, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 779-7970.

Russell Shane Gregory is licensed to practice in Michigan (license number 5501301924) 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 1437897667.

Contact Information

	Russell Shane Gregory, DPT
	24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207
	(586) 779-7970
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Russell Shane Gregory
Gender	Male
Speciality	Physical Therapist
Location	24715 Little Mack Ave Ste 100, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437897667
Provider Enumeration Date: 05/26/2022
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 2163801820
Enrollment ID: I20220627001671

Medical Identifiers

Medical identifiers for Russell Shane Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437897667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501301924 (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. Russell Shane Gregory allows following entities to bill medicare on his behalf.

Provider Name	Associated Orthopedists Of Detroit Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083686083 PECOS PAC ID: 3375440134 Enrollment ID: O20031218000543

Provider Name	Michigan Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003448994 PECOS PAC ID: 9032549217 Enrollment ID: O20200501000804

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. Russell Shane Gregory 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
Russell Shane Gregory, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: (586) 350-2644	Russell Shane Gregory, DPT 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 Ph: (586) 779-7970

Reviews and Comments

Physical Therapist in Saint Clair Shores, MI

Sachin Venkatachalam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300
Carey Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24345 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-563-3300 Fax: 586-563-3313
Kathi Piepenbrok, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23161 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-779-8892 Fax: 586-779-2869
Alexis Rushton Motycka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25311 Little Mack Ave Ste A, Saint Clair Shores, MI 48081 Phone: 586-771-4900 Fax: 586-771-4993
Donna Tavalieri, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-8200 Fax: 586-445-8201
Madhavi Prakash Vachhani, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29150 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-779-0911 Fax: 586-779-0907
Mrs. Chelsea M Hoffmeyer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-779-7970 Fax: 586-779-7748

Russell Shane Gregory, DPT - Medicare Physical Therapist in Saint Clair Shores, MI