Kelly Shaw, DPT in Kingston, PA - Medicare Physical Therapist Provider

Kelly Shaw, DPT is a medicare enrolled "Physical Therapist - Geriatrics" provider in Kingston, Pennsylvania. Her current practice location is 200 2nd Ave, Kingston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 288-9315.

Kelly Shaw is licensed to practice in Pennsylvania (license number PT011691L) 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 1740431915.

Contact Information

	Kelly Shaw, DPT
	200 2nd Ave, Kingston, PA 18704-5722
	(570) 288-9315
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Shaw
Gender	Female
Speciality	Physical Therapist - Geriatrics
Location	200 2nd Ave, Kingston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740431915
Provider Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008

Medicare PECOS Information:

PECOS PAC ID: 6901207448
Enrollment ID: I20241205000217

Medical Identifiers

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

Identifier	Type	State	Issuer
1740431915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	PT011691L (Pennsylvania)	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. Kelly Shaw allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258

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. Kelly 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
Kelly Shaw, DPT 200 2nd Ave, Kingston, PA 18704-5722 Ph: (570) 288-9315	Kelly Shaw, DPT 200 2nd Ave, Kingston, PA 18704-5722 Ph: (570) 288-9315

Reviews and Comments

Physical Therapist in Kingston, PA

Sharon K. Miller, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 Wyoming Ave, Kingston, PA 18704 Phone: 570-825-9722 Fax: 570-825-9723
Alicia Orlowski, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 Market St, Kingston, PA 18704 Phone: 570-718-0933 Fax: 570-718-0938
William A Montross, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 520 3rd Ave, Kingston, PA 18704 Phone: 570-714-6460 Fax: 570-714-6461
Timothy John Figueroa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-5496
Kimberly Janosky, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Market St, Kingston, PA 18704 Phone: 570-718-0933
Kingston Spine & Sport Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Kingston, PA 18704 Phone: 570-288-1185 Fax: 570-288-2050
Cathy Ann Krzysik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 615 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-5496

Kelly Shaw, DPT - Medicare Physical Therapist in Kingston, PA