Ms Shanice Alicia Bancroft, PTA - Physical Medicine & Rehabilitation in Newark, NJ

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Ms Shanice Alicia Bancroft, PTA is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Newark, New Jersey. Ms Shanice Alicia Bancroft is licensed to practice in New Jersey (license number 40QB00391200) and her current practice location is 271 Wainwright St, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at (347) 712-8636.

NPI number for Ms Shanice Alicia Bancroft is 1437819851 and her current mailing address is 271 Wainwright St, Newark, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437819851.

Contact Information

Ms Shanice Alicia Bancroft, PTA
271 Wainwright St,
Newark, NJ 07112-3073
(347) 712-8636
Not Available

Map and Direction




Physician's Profile

Full NameMs Shanice Alicia Bancroft
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location271 Wainwright St, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437819851
  • Provider Enumeration Date: 12/27/2021
  • Last Update Date: 12/27/2021

Medical Identifiers

Medical identifiers for Ms Shanice Alicia Bancroft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437819851NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 40QB00391200 (New Jersey)Primary

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. Ms Shanice Alicia Bancroft is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shanice Alicia Bancroft, PTA
271 Wainwright St,
Newark, NJ 07112-3073

Ph: () -		Ms Shanice Alicia Bancroft, PTA
271 Wainwright St,
Newark, NJ 07112-3073

Ph: (347) 712-8636

Reviews and Comments


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