Shantel Blume, DPT, CLT in Gallup, NM - Medicare Physical Therapist Provider

Shantel Blume, DPT, CLT is a medicare enrolled "Physical Therapist" provider in Gallup, New Mexico. Her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Shantel Blume is licensed to practice in Virginia (license number 2305208078) 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 1073045282.

Contact Information

	Shantel Blume, DPT, CLT
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shantel Blume
Gender	Female
Speciality	Physical Therapist
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073045282
Provider Enumeration Date: 03/28/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5597021014
Enrollment ID: I20171115002884

Medical Identifiers

Medical identifiers for Shantel Blume such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073045282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305208078 (Virginia)	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. Shantel Blume allows following entities to bill medicare on her behalf.

Provider Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

Provider Name	Lawton Indian Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301

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. Shantel Blume 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
Shantel Blume, DPT, CLT 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000	Shantel Blume, DPT, CLT 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Physical Therapist in Gallup, NM

Nancy Canto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800 Fax: 505-721-1899
Christine Sanchez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Natasha Hite, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Maloney Ave, Gallup, NM 87301 Phone: 505-488-2615
Maya Rose Bernadett-peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mrs. Liberty Javenia Ang, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1839
Lynn Torres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Boardman Dr, Gallup, NM 87301 Phone: 505-722-9188 Fax: 505-926-0910

Shantel Blume, DPT, CLT - Medicare Physical Therapist in Gallup, NM