Shaun Underwood, in Woodstock, GA - Medicare Physical Therapist Provider

Shaun Underwood, is a medicare enrolled "Physical Therapist" provider in Woodstock, Georgia. His current practice location is 116 Love Ln, Woodstock, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 994-2852.

Shaun Underwood is licensed to practice in Georgia (license number PT012934) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356129415.

Contact Information

	Shaun Underwood,
	116 Love Ln, Woodstock, GA 30188-4281
	(706) 994-2852
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shaun Underwood
Gender	Male
Speciality	Physical Therapist
Location	116 Love Ln, Woodstock, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356129415
Provider Enumeration Date: 09/20/2023
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 6507212198
Enrollment ID: I20231102002801

Medical Identifiers

Medical identifiers for Shaun Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356129415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT012934 (Georgia)	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. Shaun Underwood allows following entities to bill medicare on his behalf.

Provider Name	Vital Village Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1255119319 PECOS PAC ID: 3072960665 Enrollment ID: O20231102003237

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. Shaun Underwood 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
Shaun Underwood, 116 Love Ln, Woodstock, GA 30188-4281 Ph: () -	Shaun Underwood, 116 Love Ln, Woodstock, GA 30188-4281 Ph: (706) 994-2852

Reviews and Comments

Physical Therapist in Woodstock, GA

Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794

Shaun Underwood, - Medicare Physical Therapist in Woodstock, GA