Shavon A Conerly, PT - Medicare Physical Therapist in Ridgeland, MS

Shavon A Conerly, PT is a medicare enrolled "Physical Therapist" provider in Ridgeland, Mississippi. Her current practice location is 950 E County Line Rd Ste D, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 899-0002.

Shavon A Conerly is licensed to practice in Mississippi (license number PT4722) 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 1689869174.

Contact Information

Shavon A Conerly, PT
950 E County Line Rd Ste D,
Ridgeland, MS 39157-1928
(601) 899-0002
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShavon A Conerly
GenderFemale
SpecialityPhysical Therapist
Location950 E County Line Rd Ste D, Ridgeland, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689869174
  • Provider Enumeration Date: 09/08/2007
  • Last Update Date: 09/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082768627
  • Enrollment ID: I20160322000415

Medical Identifiers

Medical identifiers for Shavon A Conerly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689869174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PTH5127 (Alabama)Secondary
225100000XPhysical Therapist PT4722 (Mississippi)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. Shavon A Conerly allows following entities to bill medicare on her behalf.
Provider NameAgilitas Usa Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20130219000317
Provider NameDrayer Physical Therapy Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952732448
PECOS PAC ID: 3274834858
Enrollment ID: O20160314001040

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. Shavon A Conerly 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 AddressPractice Location Address
Shavon A Conerly, PT
800 Crescent Centre Dr Ste 300,
Franklin, TN 37067-7285

Ph: (615) 656-0379
Shavon A Conerly, PT
950 E County Line Rd Ste D,
Ridgeland, MS 39157-1928

Ph: (601) 899-0002

Reviews and Comments


Physical Therapist in Ridgeland, MS

Christine Antonia Shadie, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 711 Avignon Dr, Ridgeland, MS 39157
Phone: 601-605-6777    Fax: 601-605-8869
Reneda S Watts-anderson, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 711 Avignon Dr, Ridgeland, MS 39157
Phone: 601-605-6777    Fax: 601-605-8869
Arthur Davis,
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Medicare: Medicare Enrolled
Practice Location: 745 S Pear Orchard Rd, Suite 335, Ridgeland, MS 39157
Phone: 601-573-9974    
Joe H Smelser, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 711 Avignon Dr, Ridgeland, MS 39157
Phone: 601-605-6777    Fax: 601-607-1553
Kathryn Collums, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 950 E County Line Rd, Suite C, Ridgeland, MS 39157
Phone: 601-308-5117    Fax: 601-308-5103
Shelby Adkins Ladner, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157
Phone: 601-853-9747    Fax: 601-898-4761
Justin Nichols, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 711 Avignon Dr, Ridgeland, MS 39157
Phone: 601-605-6777    Fax: 601-607-1415

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.