Shelly M Weis, PT in Lake Geneva, WI - Medicare Physical Therapist Provider

Shelly M Weis, PT is a medicare enrolled "Physical Therapist" provider in Lake Geneva, Wisconsin. Her current practice location is N2950 State Road 67, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 245-4980.

Shelly M Weis is licensed to practice in Wisconsin (license number 4264-24) 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 1386180255.

Contact Information

	Shelly M Weis, PT
	N2950 State Road 67, Lake Geneva, WI 53147-2655
	(262) 245-4980
	(262) 245-2248

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly M Weis
Gender	Female
Speciality	Physical Therapist
Location	N2950 State Road 67, Lake Geneva, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386180255
Provider Enumeration Date: 01/16/2017
Last Update Date: 01/16/2017

Medicare PECOS Information:

PECOS PAC ID: 5991075400
Enrollment ID: I20170717001076

Medical Identifiers

Medical identifiers for Shelly M Weis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386180255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4264-24 (Wisconsin)	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. Shelly M Weis allows following entities to bill medicare on her behalf.

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750

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. Shelly M Weis 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
Shelly M Weis, PT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4980	Shelly M Weis, PT N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4980

Reviews and Comments

Physical Therapist in Lake Geneva, WI

Erin E Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Matthew Allen Hoffman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Madalyn R Douglas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4980 Fax: 262-245-2248
Kelly J Pauley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535
Kimberly K Dama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535
Mrs. Tara M. Grocholski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Geneva Pkwy N, Lake Geneva, WI 53147 Phone: 262-249-3500
Carling M. Johns, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-638-2901 Fax: 262-245-2248

Shelly M Weis, PT - Medicare Physical Therapist in Lake Geneva, WI