Courtney Shadrock, PT, DPT is a medicare enrolled "Physical Therapist" provider in Marion, Texas. Her current practice location is
523 Nightingale Ave, Marion, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 239-9896.
Courtney Shadrock is licensed to practice in * (Not Available) (license number ) 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 1043959364.
Healthcare Provider's Profile
| Full Name | Courtney Shadrock |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 523 Nightingale Ave, Marion, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043959364
- Provider Enumeration Date: 06/03/2022
- Last Update Date: 05/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 5597144410
- Enrollment ID: I20220623002784
Medical Identifiers
Medical identifiers for Courtney Shadrock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043959364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | 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. Courtney Shadrock allows following entities to bill medicare on her behalf.
| Provider Name | Agilitas Usa, Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20160425001328 |
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| Provider Name | Texas Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1790309656
PECOS PAC ID: 0648692723
Enrollment ID: O20200618000076 |
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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. Courtney Shadrock 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 |
|---|
Courtney Shadrock, PT, DPT
523 Nightingale Ave,
Marion, TX 78124-0237
Ph: (210) 239-9896 | Courtney Shadrock, PT, DPT
523 Nightingale Ave,
Marion, TX 78124-0237
Ph: (210) 239-9896 |
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