Jonathan Shaw, in Acworth, GA - Medicare Physical Therapist Provider

Jonathan Shaw, is a medicare enrolled "Physical Therapist" provider in Acworth, Georgia. His current practice location is 3950 Cobb Pkwy Nw, Suite 703, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 917-0924.

Jonathan Shaw is licensed to practice in Georgia (license number PTH009094) 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 1073709143.

Contact Information

	Jonathan Shaw,
	3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101-9532
	(770) 917-0924
	(770) 917-0926

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Shaw
Gender	Male
Speciality	Physical Therapist
Location	3950 Cobb Pkwy Nw, Acworth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073709143
Provider Enumeration Date: 09/21/2007
Last Update Date: 06/30/2008

Medicare PECOS Information:

PECOS PAC ID: 4789767021
Enrollment ID: I20080211000328

Medical Identifiers

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

Identifier	Type	State	Issuer
1073709143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTH009094 (Georgia)	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. Jonathan Shaw allows following entities to bill medicare on his behalf.

Provider Name	Emory Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776

Provider Name	Wellstar Health Ventures, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932486131 PECOS PAC ID: 1456527878 Enrollment ID: O20120105000563

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. Jonathan 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
Jonathan Shaw, Po Box 242278, Montgomery, AL 36124-2278 Ph: (334) 396-2110	Jonathan Shaw, 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101-9532 Ph: (770) 917-0924

Reviews and Comments

Physical Therapist in Acworth, GA

Justin Desandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924
Isabel Fabacher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513
Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318
Jenna Dreyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926
Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318
Miss Erin Christine Golden, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926

Jonathan Shaw, - Medicare Physical Therapist in Acworth, GA