Shawna Rae Sprout, DPT in Middle River, MD - Medicare Physical Therapist Provider

Shawna Rae Sprout, DPT is a medicare enrolled "Physical Therapist" provider in Middle River, Maryland. Her current practice location is 1364 Martin Blvd Ste 5, Middle River, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 686-3600.

Shawna Rae Sprout is licensed to practice in Maryland (license number 28779) 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 1710519806.

Contact Information

	Shawna Rae Sprout, DPT
	1364 Martin Blvd Ste 5, Middle River, MD 21220-4104
	(410) 686-3600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawna Rae Sprout
Gender	Female
Speciality	Physical Therapist
Location	1364 Martin Blvd Ste 5, Middle River, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710519806
Provider Enumeration Date: 02/07/2020
Last Update Date: 09/24/2022

Medicare PECOS Information:

PECOS PAC ID: 0244649358
Enrollment ID: I20210430001838

Medical Identifiers

Medical identifiers for Shawna Rae Sprout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710519806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT34907 (Florida)	Secondary
225100000X	Physical Therapist	28779 (Maryland)	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. Shawna Rae Sprout allows following entities to bill medicare on her behalf.

Provider Name	Florida Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126

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 Rae Sprout 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 Rae Sprout, DPT 1364 Martin Blvd Ste 5, Middle River, MD 21220-4104 Ph: (410) 686-3600	Shawna Rae Sprout, DPT 1364 Martin Blvd Ste 5, Middle River, MD 21220-4104 Ph: (410) 686-3600

Reviews and Comments

Physical Therapist in Middle River, MD

Maggie Matassa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Williams Ct Ste 116, Middle River, MD 21220 Phone: 443-963-3234
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Shawna Rae Sprout, DPT - Medicare Physical Therapist in Middle River, MD