Shawna David Clack, PT, DPT in Richmond Hill, GA - Medicare Physical Therapy Provider

Shawna David Clack, PT, DPT is a medicare enrolled "Physical Therapist" provider in Richmond Hill, Georgia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Bluffton Mobile Physical Therapy and her current practice location is 60 Exchange St Ste B4, Richmond Hill, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 459-0072.

Shawna David Clack is licensed to practice in Georgia (license number PT012897) 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 1710416185.

Contact Information

	Shawna David Clack, PT, DPT
	60 Exchange St Ste B4, Richmond Hill, GA 31324-7646
	(912) 459-0072
	(912) 459-0511

Map and Direction

Healthcare Provider's Profile

Full Name	Shawna David Clack
Gender	Female
Speciality	Physical Therapy
Experience	7 Years
Location	60 Exchange St Ste B4, Richmond Hill, Georgia
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:

Shawna David Clack graduated from medical school in 2017

NPI Data:

NPI Number: 1710416185
Provider Enumeration Date: 06/08/2017
Last Update Date: 06/08/2017

Medicare PECOS Information:

PECOS PAC ID: 4688944960
Enrollment ID: I20200316000170

Medical Identifiers

Medical identifiers for Shawna David Clack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710416185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT012897 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bluffton Mobile Physical Therapy	7315344595	5

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. Shawna David Clack allows following entities to bill medicare on her behalf.

Provider Name	Tattnall Hospital Company Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992072722 PECOS PAC ID: 6204907124 Enrollment ID: O20120618000599

Provider Name	Optim Orthopedics Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528451481 PECOS PAC ID: 9931427002 Enrollment ID: O20150421002671

Provider Name	Bluffton Mobile Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962170753 PECOS PAC ID: 7315344595 Enrollment ID: O20210930002784

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. Shawna David Clack 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
Shawna David Clack, PT, DPT 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564 Ph: (423) 238-7217	Shawna David Clack, PT, DPT 60 Exchange St Ste B4, Richmond Hill, GA 31324-7646 Ph: (912) 459-0072

Reviews and Comments

Physical Therapist in Richmond Hill, GA

Dr. Heather Michelle Daman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2451 Us Highway 17, Suite B, Richmond Hill, GA 31324 Phone: 912-459-2230 Fax: 912-459-2240
Mr. Kimberley Chapman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 48 Eton Ct, Richmond Hill, GA 31324 Phone: 912-312-0288
Colleen Olson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 60 Exchange St Ste B4, Richmond Hill, GA 31324 Phone: 912-459-0072
Hunter Walker, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10144 Ford Ave, Richmond Hill, GA 31324 Phone: 912-727-2321
Kayla Braun, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2451b Us Highway 17, Richmond Hill, GA 31324 Phone: 912-554-5612
Mrs. Lindsay Christine Burdette, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 Carter St, Richmond Hill, GA 31324 Phone: 912-756-6131
Dr. Christine Louise Bost, PT, MS, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Maxwell Ct, Richmond Hill, GA 31324 Phone: 904-982-4916

Shawna David Clack, PT, DPT - Medicare Physical Therapist in Richmond Hill, GA