Marissa Medina, PT, DPT in Shelby, NC - Medicare Physical Therapist Provider

Marissa Medina, PT, DPT is a medicare enrolled "Physical Therapist" provider in Shelby, North Carolina. Her current practice location is 1129 E Marion St, Shelby, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 471-0001.

Marissa Medina is licensed to practice in * (Not Available) (license number ) 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 1134723356.

Contact Information

	Marissa Medina, PT, DPT
	1129 E Marion St, Shelby, NC 28150-4843
	(704) 471-0001
	(704) 471-0004

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Medina
Gender	Female
Speciality	Physical Therapist
Location	1129 E Marion St, Shelby, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134723356
Provider Enumeration Date: 11/29/2020
Last Update Date: 11/29/2020

Medicare PECOS Information:

PECOS PAC ID: 0446663728
Enrollment ID: I20210105001884

Medical Identifiers

Medical identifiers for Marissa Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134723356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Marissa Medina allows following entities to bill medicare on her behalf.

Provider Name	Custom Physical Therapy And Fitness
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063083384 PECOS PAC ID: 5890192595 Enrollment ID: O20210923000051

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. Marissa Medina 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
Marissa Medina, PT, DPT 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (914) 294-4050	Marissa Medina, PT, DPT 1129 E Marion St, Shelby, NC 28150-4843 Ph: (704) 471-0001

Reviews and Comments

Physical Therapist in Shelby, NC

Curtis C Quattlebaum, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-9990
Dominic Pocci, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001
Sarah Mcbride, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Cherryville Rd, Shelby, NC 28150 Phone: 704-482-1191
Kelsey L Champney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-9990
Mrs. Lacey T Carter, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Delta Park Dr, Shelby, NC 28150 Phone: 704-323-2736
Anita M Brennan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-0004
Dr. Donald Glenn Miller Jr., PT,DPT,MS,CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1129 E Marion St, Shelby, NC 28150 Phone: 704-471-0001 Fax: 704-471-0004

Marissa Medina, PT, DPT - Medicare Physical Therapist in Shelby, NC