Shannon Henry, DPT is a medicare enrolled "Physical Therapist" provider in Holton, Kansas. Her current practice location is
1110 Columbine Dr, Holton, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 364-9649.
Shannon Henry is licensed to practice in Kansas (license number 11-04426) 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 1457125551.
Healthcare Provider's Profile
Full Name | Shannon Henry |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1110 Columbine Dr, Holton, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457125551
- Provider Enumeration Date: 11/08/2023
- Last Update Date: 11/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022468404
- Enrollment ID: I20231227001993
Medical Identifiers
Medical identifiers for Shannon Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457125551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 11-04426 (Kansas) | 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. Shannon Henry allows following entities to bill medicare on her behalf.
Provider Name | Physical & Respiratory Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1407850902 PECOS PAC ID: 0244212298 Enrollment ID: O20150324000743 |
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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. Shannon Henry 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 |
Shannon Henry, DPT 25339 K2 Ln, Circleville, KS 66416-9585 Ph: (785) 294-0431 | Shannon Henry, DPT 1110 Columbine Dr, Holton, KS 66436-8824 Ph: (785) 364-9649 |
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