Jim Shaw, DPT in Greenwood, MS - Medicare Physical Therapist Provider

Jim Shaw, DPT is a medicare enrolled "Physical Therapist" provider in Greenwood, Mississippi. His current practice location is 702 Highway 82 W Ste B, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 455-5010.

Jim Shaw is licensed to practice in Mississippi (license number PT5409) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013632678.

Contact Information

	Jim Shaw, DPT
	702 Highway 82 W Ste B, Greenwood, MS 38930-5069
	(662) 455-5010
	(662) 455-5468

Map and Direction

Healthcare Provider's Profile

Full Name	Jim Shaw
Gender	Male
Speciality	Physical Therapist
Location	702 Highway 82 W Ste B, Greenwood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013632678
Provider Enumeration Date: 10/06/2022
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 0749657823
Enrollment ID: I20230310000764

Medical Identifiers

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

Identifier	Type	State	Issuer
1013632678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT5409 (Mississippi)	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. Jim Shaw allows following entities to bill medicare on his behalf.

Provider Name	Advanced Rehabilitation, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164419222 PECOS PAC ID: 9931194693 Enrollment ID: O20040420000965

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. Jim 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
Jim Shaw, DPT 702 Highway 82 W Ste B, Greenwood, MS 38930-5069 Ph: (662) 455-5010	Jim Shaw, DPT 702 Highway 82 W Ste B, Greenwood, MS 38930-5069 Ph: (662) 455-5010

Reviews and Comments

Physical Therapist in Greenwood, MS

Joemar R Gongon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 Sgt John A Pittman Dr, Greenwood, MS 38930 Phone: 662-453-9173 Fax: 662-455-4933
Elevate Physical Therapy And Wellness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Professional Pl, Greenwood, MS 38930 Phone: 662-897-4835
Mrs. Amanda G. Harris, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W, B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Mrs. Kathryn Sloane Fair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Highway 82 W Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Advanced Rehabilitation, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 702 Highway 82 West, Ste B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468
Connie Cordell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 82w Suite B, Greenwood, MS 38930 Phone: 662-455-5010 Fax: 662-455-5468

Jim Shaw, DPT - Medicare Physical Therapist in Greenwood, MS