Marisa Mccormack, in Shalimar, FL - Medicare Physical Therapist Provider

Marisa Mccormack, is a medicare enrolled "Physical Therapist" provider in Shalimar, Florida. Her current practice location is 4 8th St Unit A, Shalimar, Florida. You can reach out to her office (for appointments etc.) via phone at (330) 554-0631.

Marisa Mccormack is licensed to practice in Florida (license number PT35820) 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 1730705518.

Contact Information

	Marisa Mccormack,
	4 8th St Unit A, Shalimar, FL 32579-2146
	(330) 554-0631
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marisa Mccormack
Gender	Female
Speciality	Physical Therapist
Location	4 8th St Unit A, Shalimar, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730705518
Provider Enumeration Date: 06/17/2020
Last Update Date: 01/23/2026

Medicare PECOS Information:

PECOS PAC ID: 7416326764
Enrollment ID: I20240315001612

Medical Identifiers

Medical identifiers for Marisa Mccormack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730705518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT302271 (California)	Secondary
225100000X	Physical Therapist	PT35820 (Florida)	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. Marisa Mccormack allows following entities to bill medicare on her behalf.

Provider Name	Pro Vita Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790332351 PECOS PAC ID: 6901226976 Enrollment ID: O20201013000689

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. Marisa Mccormack 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
Marisa Mccormack, 4 8th St Unit A, Shalimar, FL 32579-2146 Ph: (330) 554-0631	Marisa Mccormack, 4 8th St Unit A, Shalimar, FL 32579-2146 Ph: (330) 554-0631

Reviews and Comments

Physical Therapist in Shalimar, FL

Krista L Evans, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 104 Hands Cove Ln, Shalimar, FL 32579 Phone: 210-471-8375
Amy R Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hawthorn House Dr, Shalimar, FL 32579 Phone: 850-609-2550
Dylan Plantz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Marlborough Rd, Shalimar, FL 32579 Phone: 850-585-8641
Michael Travers, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 9th Ave Ste G, Shalimar, FL 32579 Phone: 205-919-9349

Marisa Mccormack, - Medicare Physical Therapist in Shalimar, FL