Shane T Stachura, PT, MPT is a medicare enrolled "Physical Therapist" provider in Cissna Park, Illinois. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Gibson Community Hospital Association and his current practice location is
510 Prairie Ln, Cissna Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 457-2006.
Shane T Stachura is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013154350.
Healthcare Provider's Profile
| Full Name | Shane T Stachura |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 11 Years |
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| Location | 510 Prairie Ln, Cissna Park, Illinois |
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| Accepts Medicare Assignments | Yes. He 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:
- Shane T Stachura graduated from medical school in 2013
NPI Data:
- NPI Number: 1013154350
- Provider Enumeration Date: 01/08/2009
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557603677
- Enrollment ID: I20190419000702
Medical Identifiers
Medical identifiers for Shane T Stachura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013154350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gibson Community Hospital Association | 5092703124 | 97 |
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. Shane T Stachura allows following entities to bill medicare on his behalf.
| Provider Name | Gibson Community Hospital Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114935681
PECOS PAC ID: 5092703124
Enrollment ID: O20040505001293 |
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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. Shane T Stachura 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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Shane T Stachura, PT, MPT
1120 N Melvin St,
Gibson City, IL 60936-1477
Ph: () - | Shane T Stachura, PT, MPT
510 Prairie Ln,
Cissna Park, IL 60924-9710
Ph: (815) 457-2006 |
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