Shasta J Ellenburg, PT in Ozark, AL - Medicare Physical Therapy Provider

Shasta J Ellenburg, PT is a medicare enrolled "Physical Therapist" provider in Ozark, Alabama. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Healthactions Pa and her current practice location is 1254 Andrews Ave, Ozark, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 445-1380.

Shasta J Ellenburg is licensed to practice in Alabama (license number PTH4042) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104113935.

Contact Information

	Shasta J Ellenburg, PT
	1254 Andrews Ave, Ozark, AL 36360-3712
	(334) 445-1380
	(334) 445-1489

Map and Direction

Healthcare Provider's Profile

Full Name	Shasta J Ellenburg
Gender	Female
Speciality	Physical Therapy
Experience	22 Years
Location	1254 Andrews Ave, Ozark, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shasta J Ellenburg graduated from medical school in 2002

NPI Data:

NPI Number: 1104113935
Provider Enumeration Date: 06/30/2011
Last Update Date: 06/30/2011

Medicare PECOS Information:

PECOS PAC ID: 3577732338
Enrollment ID: I20110811000634

Medical Identifiers

Medical identifiers for Shasta J Ellenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104113935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH4042 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthactions Pa	3476535881	18

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. Shasta J Ellenburg allows following entities to bill medicare on her behalf.

Provider Name	Healthactions Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467444182 PECOS PAC ID: 3476535881 Enrollment ID: O20040601000942

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. Shasta J Ellenburg 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
Shasta J Ellenburg, PT Po Box 949, Rome, GA 30162-0949 Ph: (706) 236-2774	Shasta J Ellenburg, PT 1254 Andrews Ave, Ozark, AL 36360-3712 Ph: (334) 445-1380

Reviews and Comments

Physical Therapist in Ozark, AL

Elizabeth Anne Ballard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1254 Andrews Ave, Ozark, AL 36360 Phone: 334-445-1380 Fax: 334-445-1489
Andrea Christine Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 193 Sam Lisenby Rd, Ozark, AL 36360 Phone: 334-445-6336
Dhara Shah, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 618 Andrews Ave, Suite E, Ozark, AL 36360 Phone: 866-855-1025 Fax: 334-649-3020
Mrs. Angie M Terry, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 S Painter Ave Ste C, Ozark, AL 36360 Phone: 334-774-0370
Jordan Dow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 618 Andrews Ave, Ozark, AL 36360 Phone: 866-855-1025 Fax: 334-659-3020
Kennedy Phillips, Physical Therapist Medicare: Medicare Enrolled Practice Location: 618 Andrews Ave Ste E, Ozark, AL 36360 Phone: 334-733-8523

Shasta J Ellenburg, PT - Medicare Physical Therapist in Ozark, AL