Shelby Landrum, PT is a medicare enrolled "Physical Therapist" provider in Fort Johnson, Louisiana. Her current practice location is
1585 3rd St, Fort Johnson, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 531-3207.
Shelby Landrum is licensed to practice in South Carolina (license number 11421) 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 1669184487.
Healthcare Provider's Profile
Full Name | Shelby Landrum |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1585 3rd St, Fort Johnson, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669184487
- Provider Enumeration Date: 12/23/2022
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335500131
- Enrollment ID: I20230726001819
Medical Identifiers
Medical identifiers for Shelby Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669184487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 11421 (South Carolina) | 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. Shelby Landrum allows following entities to bill medicare on her behalf.
Provider Name | Grace Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1356544415 PECOS PAC ID: 1557452331 Enrollment ID: O20070808000449 |
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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 Landrum 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 Landrum, PT 413 Durwin Way, Columbia, SC 29229-7212 Ph: (706) 818-5633 | Shelby Landrum, PT 1585 3rd St, Fort Johnson, LA 71459-5102 Ph: (337) 531-3207 |
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