Shasta Dawn Vance, OT in Greenville, SC - Medicare Occupational Therapist Provider

Shasta Dawn Vance, OT is a medicare enrolled "Occupational Therapist" provider in Greenville, South Carolina. Her current practice location is : 21 Mcbeth Street Greenville, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (410) 889-0727.

Shasta Dawn Vance is licensed to practice in South Carolina (license number 3350) 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 1568800415.

Contact Information

	Shasta Dawn Vance, OT
	: 21 Mcbeth Street Greenville, Greenville, SC 29611
	(410) 889-0727
	(410) 889-0729

Map and Direction

Healthcare Provider's Profile

Full Name	Shasta Dawn Vance
Gender	Female
Speciality	Occupational Therapist
Location	: 21 Mcbeth Street Greenville, Greenville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568800415
Provider Enumeration Date: 06/12/2013
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6901032135
Enrollment ID: I20131119000020

Medical Identifiers

Medical identifiers for Shasta Dawn Vance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568800415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3350 (South Carolina)	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. Shasta Dawn Vance allows following entities to bill medicare on her behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631

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 Dawn Vance 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
Shasta Dawn Vance, OT 416 E 30th St, Baltimore, MD 21218-3934 Ph: (410) 889-0727	Shasta Dawn Vance, OT : 21 Mcbeth Street Greenville, Greenville, SC 29611 Ph: (410) 889-0727

Reviews and Comments

Occupational Therapist in Greenville, SC

Martha Manieri, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 Fax: 864-244-6923
Rebecca Grace Gratton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1353 Fax: 864-331-1446
Allegiant Pediatrics Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Anderson Rd Ste C, Greenville, SC 29611 Phone: 864-295-9890 Fax: 864-295-9894
Shannon Jones, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626
Jami Trenor, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 East Augusta Place, Greenville, SC 29605 Phone: 864-991-8379
Mrs. Kelly Macintire Prater, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1364
Jana Feldman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 Fax: 864-331-1446

Shasta Dawn Vance, OT - Medicare Occupational Therapist in Greenville, SC