Sherrill Hope Backstrom, PT is a medicare enrolled "Physical Therapist" provider in Leakesville, Mississippi. She went to University Of South Alabama College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Encore Rehabilitation, Inc and her current practice location is
316 Main St, Leakesville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 394-4545.
Sherrill Hope Backstrom is licensed to practice in Mississippi (license number PT1051) 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 1871528364.
Healthcare Provider's Profile
| Full Name | Sherrill Hope Backstrom |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 33 Years |
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| Location | 316 Main St, Leakesville, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sherrill Hope Backstrom attended and graduated from University Of South Alabama College Of Medicine in 1991
NPI Data:
- NPI Number: 1871528364
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/21/2009
Medicare PECOS Information:
- PECOS PAC ID: 7214032986
- Enrollment ID: I20070425000356
Medical Identifiers
Medical identifiers for Sherrill Hope Backstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871528364 | NPI | - | NPPES |
| 09015077 | Medicaid | MS | |
| DD4538/P00716895 | Other | MS | MEDICARE RAILROAD |
| DD4538 | Other | MS | RAILROAD MEDICARE |
| 1033218524 | Other | MS | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT1051 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Encore Rehabilitation, Inc | 3577462126 | 150 |
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. Sherrill Hope Backstrom allows following entities to bill medicare on her behalf.
| Provider Name | Encore Rehabilitation, Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1033218524
PECOS PAC ID: 3577462126
Enrollment ID: O20121106000516 |
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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. Sherrill Hope Backstrom 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 |
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Sherrill Hope Backstrom, PT
Po Box 8419,
Biloxi, MS 39535-8087
Ph: (228) 388-5714 | Sherrill Hope Backstrom, PT
316 Main St,
Leakesville, MS 39451-6504
Ph: (601) 394-4545 |
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