Shelby Randolph, DPT in Lincoln, NE - Medicare Physical Therapy Provider

Shelby Randolph, DPT is a medicare enrolled "Physical Therapist" provider in Lincoln, Nebraska. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Central Nebraska Rehabilitation Services Llc and her current practice location is 4001 O St, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 817-0834.

Shelby Randolph is licensed to practice in Nebraska (license number 4263) 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 1053944017.

Contact Information

	Shelby Randolph, DPT
	4001 O St, Lincoln, NE 68510-1755
	(402) 817-0834
	(402) 817-0835

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Randolph
Gender	Female
Speciality	Physical Therapy
Experience	5 Years
Location	4001 O St, Lincoln, Nebraska
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:

Shelby Randolph attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2019

NPI Data:

NPI Number: 1053944017
Provider Enumeration Date: 02/18/2020
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4789080854
Enrollment ID: I20210915001554

Medical Identifiers

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

Identifier	Type	State	Issuer
1053944017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4263 (Nebraska)	Primary
225100000X	Physical Therapist	096285 (Iowa)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Nebraska Rehabilitation Services Llc	0749258994	81

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 Randolph allows following entities to bill medicare on her behalf.

Provider Name	Central Nebraska Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184627911 PECOS PAC ID: 0749258994 Enrollment ID: O20120303000002

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 Randolph 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 Randolph, DPT Po Box 5285, Grand Island, NE 68802-5285 Ph: (308) 675-1853	Shelby Randolph, DPT 4001 O St, Lincoln, NE 68510-1755 Ph: (402) 817-0834

Reviews and Comments

Physical Therapist in Lincoln, NE

Mrs. Mary Lucille Long, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 South St, Lincoln, NE 68506 Phone: 402-489-7102 Fax: 402-486-9098
Jane E Kerl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 S 54th St, Lincoln, NE 68516 Phone: 402-488-0977
Mrs. Rikki Frey, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 South St, Lincoln, NE 68502 Phone: 402-441-7101
Austin Ryan Becker, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2510 S 40th St Ste 200, Lincoln, NE 68506 Phone: 402-486-3333 Fax: 402-486-3349
Carrie A Heermann, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1601 N 86th St Ste 300, Lincoln, NE 68505 Phone: 402-327-7515 Fax: 402-327-7513
Ms. Crystal Gayle Hollatz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 South St, Lincoln, NE 68506 Phone: 402-489-7102 Fax: 402-486-9098
Suzanne K Wing-dougherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5930 Vandervoort Dr Ste A, Lincoln, NE 68516 Phone: 402-420-2099 Fax: 402-420-2823

Shelby Randolph, DPT - Medicare Physical Therapist in Lincoln, NE