Shelby Ann Niebrugge, PT, DPT in Mattoon, IL - Medicare Physical Therapist Provider

Shelby Ann Niebrugge, PT, DPT is a medicare enrolled "Physical Therapist" provider in Mattoon, Illinois. Her current practice location is 1004 Health Center Dr Ste 102, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-2530.

Shelby Ann Niebrugge is licensed to practice in Illinois (license number 070.026569) 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 1639725088.

Contact Information

	Shelby Ann Niebrugge, PT, DPT
	1004 Health Center Dr Ste 102, Mattoon, IL 61938-4607
	(217) 258-2530
	(217) 258-4176

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Ann Niebrugge
Gender	Female
Speciality	Physical Therapist
Location	1004 Health Center Dr Ste 102, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639725088
Provider Enumeration Date: 08/12/2019
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 8921531948
Enrollment ID: I20241030000600

Medical Identifiers

Medical identifiers for Shelby Ann Niebrugge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639725088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070.026569 (Illinois)	Primary
225100000X	Physical Therapist	2019030032 (Missouri)	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. Shelby Ann Niebrugge allows following entities to bill medicare on her behalf.

Provider Name	Prorehab Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124652102 PECOS PAC ID: 1254317217 Enrollment ID: O20200702001488

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. Shelby Ann Niebrugge 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
Shelby Ann Niebrugge, PT, DPT 1014 N Koester Dr, Effingham, IL 62401-1745 Ph: (217) 821-7558	Shelby Ann Niebrugge, PT, DPT 1004 Health Center Dr Ste 102, Mattoon, IL 61938-4607 Ph: (217) 258-2530

Reviews and Comments

Physical Therapist in Mattoon, IL

Kendall Giles, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176
Jennifer Uberfluss, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525
Elizabeth H Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-235-3121 Fax: 217-235-3122
Douglas A Henness, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176
Central Illinois Physical Therapy Professionals, Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Professional Plz, Mattoon, IL 61938 Phone: 217-345-1245 Fax: 217-345-1253
Teri Lyn Miller, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525
Carla A Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525

Shelby Ann Niebrugge, PT, DPT - Medicare Physical Therapist in Mattoon, IL