Keegan Douglas Shannon, PT, DPT in Allendale, MI - Medicare Physical Therapist Provider

Keegan Douglas Shannon, PT, DPT is a medicare enrolled "Physical Therapist" provider in Allendale, Michigan. His current practice location is 11160 Wj Presley Pkwy Ste 103, Allendale, Michigan. You can reach out to his office (for appointments etc.) via phone at (978) 602-7431.

Keegan Douglas Shannon is licensed to practice in Michigan (license number 5501303485) 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 1861224412.

Contact Information

	Keegan Douglas Shannon, PT, DPT
	11160 Wj Presley Pkwy Ste 103, Allendale, MI 49401-8075
	(978) 602-7431
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keegan Douglas Shannon
Gender	Male
Speciality	Physical Therapist
Location	11160 Wj Presley Pkwy Ste 103, Allendale, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861224412
Provider Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1951840990
Enrollment ID: I20240822001635

Medical Identifiers

Medical identifiers for Keegan Douglas Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861224412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501303485 (Michigan)	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. Keegan Douglas Shannon allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Michigan Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245

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. Keegan Douglas Shannon 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
Keegan Douglas Shannon, PT, DPT Po Box 419885, Boston, MA 02241-9885 Ph: (914) 294-4050	Keegan Douglas Shannon, PT, DPT 11160 Wj Presley Pkwy Ste 103, Allendale, MI 49401-8075 Ph: (978) 602-7431

Reviews and Comments

Physical Therapist in Allendale, MI

Cherie Nichole Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Commerce Dr Ste B, Allendale, MI 49401 Phone: 616-895-4770
Catherine Marie Castillo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11007 Radcliff Dr, Allendale, MI 49401 Phone: 616-895-6688
Haley J Slagboom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11160 Wj Presley Pkwy Ste 103, Allendale, MI 49401 Phone: 616-895-4050 Fax: 616-965-2475
Jeffrey C Paschall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Commerce Dr Ste B, Allendale, MI 49401 Phone: 616-895-4770
Mr. Scott David Macdonald, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Commerce Dr, Suite B, Allendale, MI 49401 Phone: 616-443-7673
Jodi L Briggs, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Commerce Dr Ste B, Allendale, MI 49401 Phone: 616-895-4770 Fax: 616-469-1667
Elizabeth Jean Ramey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6567 Elwood Ct N, Allendale, MI 49401 Phone: 419-366-6985

Keegan Douglas Shannon, PT, DPT - Medicare Physical Therapist in Allendale, MI