Shane T Stachura, PT, MPT is a medicare enrolled "Physical Therapist" provider in Cissna Park, Illinois. His current practice location is
510 Prairie Ln, Cissna Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 457-2006.
Shane T Stachura is licensed to practice in * (Not Available) (license number ) 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 1013154350.
Healthcare Provider's Profile
Full Name | Shane T Stachura |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 510 Prairie Ln, Cissna Park, Illinois |
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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 T Stachura attended and graduated from in
NPI Data:
- NPI Number: 1013154350
- Provider Enumeration Date: 01/08/2009
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shane T Stachura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013154350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
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 T Stachura 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 T Stachura, PT, MPT 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: () - | Shane T Stachura, PT, MPT 510 Prairie Ln, Cissna Park, IL 60924-9710 Ph: (815) 457-2006 |
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