Shasta Health Physical Therapy, P.c. is a medicare enrolled "Clinic/center - Physical Therapy" provider in San Francisco, California. Their current practice location is
1085 S Van Ness Ave, Unit 205, San Francisco, California. You can reach out to their office (for appointments etc.) via phone at
(408) 660-6456.
Shasta Health Physical Therapy, P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Shasta Health Physical Therapy, P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063292241.
Healthcare Provider's Profile
| Full Name | Shasta Health Physical Therapy, P.c. |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1085 S Van Ness Ave, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063292241
- Provider Enumeration Date: 10/04/2023
- Last Update Date: 10/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951750652
- Enrollment ID: O20231206002878
Medical Identifiers
Medical identifiers for Shasta Health Physical Therapy, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063292241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Shasta Health Physical Therapy, P.c. acts as a billing entity for following providers:
| Provider Name | Laurel Mines |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1205106721
PECOS PAC ID: 6901160258
Enrollment ID: I20180514001701 |
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| Provider Name | Khushboo Ronak Shah |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1992299721
PECOS PAC ID: 1456602499
Enrollment ID: I20181001002606 |
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| Provider Name | Fahmida Faiza |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1982327698
PECOS PAC ID: 1658746029
Enrollment ID: I20230417002778 |
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| Provider Name | Jennalyn Sujan Lew |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1043821317
PECOS PAC ID: 4183075781
Enrollment ID: I20240108005856 |
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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. Shasta Health Physical Therapy, P.c. 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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Shasta Health Physical Therapy, P.c.
2261 Market St Ste 5519,
San Francisco, CA 94114-1612
Ph: () - | Shasta Health Physical Therapy, P.c.
1085 S Van Ness Ave, Unit 205,
San Francisco, CA 94110
Ph: (408) 660-6456 |
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