Shaon D Fry, PT - Medicare Physical Therapist in Columbia, MO

Shaon D Fry, PT is a medicare enrolled "Physical Therapist" provider in Columbia, Missouri. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Boone Physician Services Llc and his current practice location is 202 E Nifong Blvd, Suite A, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 777-6955.

Shaon D Fry is licensed to practice in Missouri (license number 109173) 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 1558380659.

Contact Information

Shaon D Fry, PT
202 E Nifong Blvd, Suite A,
Columbia, MO 65203-3759
(573) 777-6955
(573) 777-6957

Map and Direction




Healthcare Provider's Profile

Full NameShaon D Fry
GenderMale
SpecialityPhysical Therapy
Experience29 Years
Location202 E Nifong Blvd, Columbia, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shaon D Fry graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1558380659
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 03/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8224031349
  • Enrollment ID: I20060815000352

Medical Identifiers

Medical identifiers for Shaon D Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558380659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 109173 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boone Physician Services Llc6507090644228

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. Shaon D Fry allows following entities to bill medicare on his behalf.
Provider NameBoone Physician Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1760893259
PECOS PAC ID: 6507090644
Enrollment ID: O20131003000535
Provider NameCentral Missouri Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1558436592
PECOS PAC ID: 6901870187
Enrollment ID: O20150915001876

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. Shaon D Fry 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 AddressPractice Location Address
Shaon D Fry, PT
3301 Berrywood Dr, Suite 204,
Columbia, MO 65201-6517

Ph: (573) 449-8771
Shaon D Fry, PT
202 E Nifong Blvd, Suite A,
Columbia, MO 65203-3759

Ph: (573) 777-6955

Reviews and Comments


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Phone: 573-449-8771    Fax: 573-449-6563
Ms. Miranda L Bourgeois, PT
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Phone: 573-449-6082    
Mrs. Beth Kinser Lewis, DPT
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Practice Location: 200 N Keene St Ste 102, Columbia, MO 65201
Phone: 573-874-0001    Fax: 573-449-3278
Noah Brayden Cunningham, DPT
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Medicare: Medicare Enrolled
Practice Location: 10 W Nifong Blvd Ste 121, Columbia, MO 65203
Phone: 573-442-5268    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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