Shanon Landauer, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bellemont, Arizona. Her current practice location is
12211 Pegasus Rd, Bellemont, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 421-3581.
Shanon Landauer is licensed to practice in Arizona (license number 32155) 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 1528703394.
Healthcare Provider's Profile
Full Name | Shanon Landauer |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 12211 Pegasus Rd, Bellemont, Arizona |
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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: 1528703394
- Provider Enumeration Date: 05/04/2022
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537541362
- Enrollment ID: I20220726003628
Medical Identifiers
Medical identifiers for Shanon Landauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528703394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 32155 (Arizona) | 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. Shanon Landauer allows following entities to bill medicare on her behalf.
Provider Name | Mobile Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1770110801 PECOS PAC ID: 1850720459 Enrollment ID: O20200402001463 |
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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. Shanon Landauer 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 |
Shanon Landauer, PT, DPT Po Box 30212, Flagstaff, AZ 86003-0212 Ph: (928) 421-3581 | Shanon Landauer, PT, DPT 12211 Pegasus Rd, Bellemont, AZ 86015-5112 Ph: (928) 421-3581 |
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