Zack Shaw, DPT in Decatur, IL - Medicare Physical Therapy Provider

Zack Shaw, DPT is a medicare enrolled "Physical Therapist" provider in Decatur, Illinois. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ivyrehab Physical Therapy Pllc and his current practice location is 4855-57 East 36, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 864-1264.

Zack Shaw is licensed to practice in Illinois (license number 070023183) 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 1154848034.

Contact Information

	Zack Shaw, DPT
	4855-57 East 36, Decatur, IL 62521
	(217) 864-1264
	(217) 864-1828

Map and Direction

Healthcare Provider's Profile

Full Name	Zack Shaw
Gender	Male
Speciality	Physical Therapy
Experience	7 Years
Location	4855-57 East 36, Decatur, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Zack Shaw graduated from medical school in 2017

NPI Data:

NPI Number: 1154848034
Provider Enumeration Date: 08/23/2017
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 0547535478
Enrollment ID: I20171003006700

Medical Identifiers

Medical identifiers for Zack Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154848034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14709 (Wisconsin)	Secondary
225100000X	Physical Therapist	070023183 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab Physical Therapy Pllc	7012997638	276

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. Zack Shaw allows following entities to bill medicare on his behalf.

Provider Name	Decatur Orthopedic Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446

Provider Name	Ivyrehab Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277

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. Zack Shaw 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
Zack Shaw, DPT 725 Montgomery Ln, Decatur, IL 62526-1268 Ph: (217) 412-2302	Zack Shaw, DPT 4855-57 East 36, Decatur, IL 62521 Ph: (217) 864-1264

Reviews and Comments

Physical Therapist in Decatur, IL

Jaclyn Nicole Kleman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2600 Fax: 217-876-2615
Don Michael Kyle Sr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3122 Brettwood Cir, Decatur, IL 62526 Phone: 217-876-4600
Jaycee Cabalatungan Cristales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 136 S Dipper Ln, Decatur, IL 62522 Phone: 217-428-7767
Mrs. Elizabeth Komnick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N. Edward St., Decatur, IL 62526 Phone: 217-876-2600 Fax: 217-876-2615
Mrs. Linda Sue Miller I, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261
Morgan Belskamper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2600

Zack Shaw, DPT - Medicare Physical Therapist in Decatur, IL