Kylie Shafer, PT, DPT, PCS in Watertown, NY - Medicare Physical Therapist Provider

Kylie Shafer, PT, DPT, PCS is a medicare enrolled "Physical Therapist" provider in Watertown, New York. Her current practice location is 420 Gaffney Dr, Watertown, New York. You can reach out to her office (for appointments etc.) via phone at (315) 788-2730.

Kylie Shafer is licensed to practice in New York (license number 054332) 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 1609465095.

Contact Information

	Kylie Shafer, PT, DPT, PCS
	420 Gaffney Dr, Watertown, NY 13601-1823
	(315) 788-2730
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kylie Shafer
Gender	Female
Speciality	Physical Therapist
Location	420 Gaffney Dr, Watertown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609465095
Provider Enumeration Date: 01/11/2021
Last Update Date: 03/23/2026

Medicare PECOS Information:

PECOS PAC ID: 6608226725
Enrollment ID: I20240102000817

Medical Identifiers

Medical identifiers for Kylie Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609465095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	0017467 (Colorado)	Secondary
225100000X	Physical Therapist	054332 (New York)	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. Kylie Shafer allows following entities to bill medicare on her behalf.

Provider Name	Children's Clinics For Rehabilitative Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063454346 PECOS PAC ID: 2264503408 Enrollment ID: O20080617000099

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. Kylie Shafer 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
Kylie Shafer, PT, DPT, PCS 420 Gaffney Dr, Watertown, NY 13601-1823 Ph: () -	Kylie Shafer, PT, DPT, PCS 420 Gaffney Dr, Watertown, NY 13601-1823 Ph: (315) 788-2730

Reviews and Comments

Physical Therapist in Watertown, NY

Mr. Kory Albert Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 State Route 3, Watertown, NY 13601 Phone: 315-779-7100
Mrs. Susan Marie Mahoney, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1635 Ohio St, Watertown, NY 13601 Phone: 315-786-7285
Mr. Thomas Andrew Barber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 59 Public Sq, Woodruff Proff Bldg, Watertown, NY 13601 Phone: 315-782-7872 Fax: 315-782-7871
Sarah Hynes Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20104 State Route 3, Watertown, NY 13601 Phone: 315-779-7100
Mrs. Nancy Aten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21638 Reed Rd, Watertown, NY 13601 Phone: 315-786-0677
Deanna Hirschey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4088
Monika Baerbel Docteur, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 53-59 Public Sq Ste 202, Watertown, NY 13601 Phone: 315-786-3225 Fax: 315-786-3215

Kylie Shafer, PT, DPT, PCS - Medicare Physical Therapist in Watertown, NY