Sharon Louise Amis, PT is a medicare enrolled "Physical Therapist" provider in Middlebury, Indiana. Her current practice location is
611 Wayne St, Middlebury, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 825-8118.
Sharon Louise Amis is licensed to practice in Indiana (license number 05006720A) 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 1083765499.
Healthcare Provider's Profile
Full Name | Sharon Louise Amis |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 611 Wayne St, Middlebury, Indiana |
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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: 1083765499
- Provider Enumeration Date: 01/13/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961876073
- Enrollment ID: I20230313000748
Medical Identifiers
Medical identifiers for Sharon Louise Amis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083765499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05006720A (Indiana) | Primary |
225100000X | Physical Therapist | 5501006973 (Michigan) | Secondary |
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. Sharon Louise Amis allows following entities to bill medicare on her behalf.
Provider Name | Fit 4 Life Personal Training & Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1225378391 PECOS PAC ID: 8022256478 Enrollment ID: O20130524000563 |
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Provider Name | Gateway Physical Therapy 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: 1225413917 PECOS PAC ID: 4880985803 Enrollment ID: O20160622002260 |
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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. Sharon Louise Amis 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 |
Sharon Louise Amis, PT 611 Wayne St, Middlebury, IN 46540-9543 Ph: (574) 825-8118 | Sharon Louise Amis, PT 611 Wayne St, Middlebury, IN 46540-9543 Ph: (574) 825-8118 |
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