Mr Shane Kenneth Mccormick, OTR/L - Medicare Occupational Therapist in Jackson, WY

Mr Shane Kenneth Mccormick, OTR/L is a medicare enrolled "Occupational Therapist" provider in Jackson, Wyoming. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Teton Hand Therapy Llc and his current practice location is 310 E Broadway Ave, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 734-2877.

Mr Shane Kenneth Mccormick is licensed to practice in Wyoming (license number OT-1386) 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 1295071611.

Contact Information

Mr Shane Kenneth Mccormick, OTR/L
310 E Broadway Ave,
Jackson, WY 83001-8636
(307) 734-2877
(307) 734-2827

Map and Direction




Healthcare Provider's Profile

Full NameMr Shane Kenneth Mccormick
GenderMale
SpecialityOccupational Therapy
Experience12 Years
Location310 E Broadway Ave, Jackson, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Shane Kenneth Mccormick graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1295071611
  • Provider Enumeration Date: 12/13/2012
  • Last Update Date: 07/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375881360
  • Enrollment ID: I20190218001499

Medical Identifiers

Medical identifiers for Mr Shane Kenneth Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295071611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-1386 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Teton Hand Therapy Llc43855494434

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. Mr Shane Kenneth Mccormick allows following entities to bill medicare on his behalf.
Provider NameTeton Hand Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215086905
PECOS PAC ID: 4385549443
Enrollment ID: O20031202000204

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. Mr Shane Kenneth Mccormick 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
Mr Shane Kenneth Mccormick, OTR/L
555 Saint Josephs Blvd,
Elmira, NY 14901-3223

Ph: (607) 733-6541
Mr Shane Kenneth Mccormick, OTR/L
310 E Broadway Ave,
Jackson, WY 83001-8636

Ph: (307) 734-2877

Reviews and Comments


Occupational Therapist in Jackson, WY

Lisa G Robertson, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 310 East Broadway, Suite 100, Jackson, WY 83001
Phone: 307-200-9520    
Julia Marie Andracki, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 310 E Broadway Ave, Jackson, WY 83001
Phone: 307-734-2877    Fax: 307-734-2827
Alexandra Grace Stone, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 555 E Broadway Ave # 100, Jackson, WY 83001
Phone: 307-739-1864    
Kristopher T Allison, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83002
Phone: 307-739-7491    
Teton Hand Therapy Inc
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 310 East Broadway, Jackson, WY 83001
Phone: 307-734-2877    
New Vision Rehabilitation
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 120 West Pearl Ave, Jackson, WY 83001
Phone: 307-699-7478    
Jennifer Baxter, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 185 South Willow, Jackson, WY 83001
Phone: 307-733-3791    

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