Shane Davis, PT in Boonville, NY - Medicare Physical Therapy Provider

Shane Davis, PT is a medicare enrolled "Physical Therapist" provider in Boonville, New York. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 13040 State Route 12, Boonville, New York. You can reach out to his office (for appointments etc.) via phone at (315) 358-4028.

Shane Davis is licensed to practice in New York (license number 022935) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033170725.

Contact Information

	Shane Davis, PT
	13040 State Route 12, Boonville, NY 13309-4942
	(315) 358-4028
	(315) 358-4186

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Davis
Gender	Male
Speciality	Physical Therapy
Experience	27 Years
Location	13040 State Route 12, Boonville, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shane Davis graduated from medical school in 1997

NPI Data:

NPI Number: 1033170725
Provider Enumeration Date: 03/31/2006
Last Update Date: 09/24/2013

Medicare PECOS Information:

PECOS PAC ID: 0840279634
Enrollment ID: I20040715000808

Medical Identifiers

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

Identifier	Type	State	Issuer
1033170725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	022935 (New York)	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. Shane Davis allows following entities to bill medicare on his behalf.

Provider Name	Shane Davis Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679812747 PECOS PAC ID: 5395982839 Enrollment ID: O20130501000019

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. Shane Davis 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
Shane Davis, PT 13040 State Route 12, Boonville, NY 13309-4942 Ph: (315) 358-4028	Shane Davis, PT 13040 State Route 12, Boonville, NY 13309-4942 Ph: (315) 358-4028

Reviews and Comments

Physical Therapist in Boonville, NY

Dr. Elaine Marie Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Ford St, Boonville, NY 13309 Phone: 315-942-9220
Shane Davis Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 13040 State Route 12, Boonville, NY 13309 Phone: 315-358-4028 Fax: 315-358-4186
Sandra Patrick Beasock, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1591 Hines Rd, Boonville, NY 13309 Phone: 315-942-3101

Shane Davis, PT - Medicare Physical Therapist in Boonville, NY