Mr Gary John Shuttleworth, in Fredericktown, PA - Medicare Physical Therapist Provider

Mr Gary John Shuttleworth, is a medicare enrolled "Physical Therapist" provider in Fredericktown, Pennsylvania. His current practice location is 1070 Old National Pike, Fredericktown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 632-6801.

Mr Gary John Shuttleworth is licensed to practice in Pennsylvania (license number PT009691L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184615940.

Contact Information

	Mr Gary John Shuttleworth,
	1070 Old National Pike, Fredericktown, PA 15333-2114
	(724) 632-6801
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gary John Shuttleworth
Gender	Male
Speciality	Physical Therapist
Location	1070 Old National Pike, Fredericktown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184615940
Provider Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729237896
Enrollment ID: I20121004000493

Medical Identifiers

Medical identifiers for Mr Gary John Shuttleworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184615940	NPI	-	NPPES
1676875	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT009691L (Pennsylvania)	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. Mr Gary John Shuttleworth allows following entities to bill medicare on his behalf.

Provider Name	Panther Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891716619 PECOS PAC ID: 5294727509 Enrollment ID: O20050329000685

Provider Name	Crossroads Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1437690021 PECOS PAC ID: 5799057071 Enrollment ID: O20170822000372

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. Mr Gary John Shuttleworth 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
Mr Gary John Shuttleworth, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801	Mr Gary John Shuttleworth, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801

Reviews and Comments

Physical Therapist in Fredericktown, PA

Centerville Clinics, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 Fax: 724-632-6312
Dr. Scott Robert Hargraves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgewood Dr, Fredericktown, PA 15333 Phone: 724-377-1933

Mr Gary John Shuttleworth, - Medicare Physical Therapist in Fredericktown, PA