Melisa Michelle Shafer, PT is a medicare enrolled "Physical Therapist" provider in Edwardsburg, Michigan. Her current practice location is
69045 M 62, Edwardsburg, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 663-2201.
Melisa Michelle Shafer is licensed to practice in Michigan (license number 5501010588) 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 1730669714.
Healthcare Provider's Profile
| Full Name | Melisa Michelle Shafer |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 69045 M 62, Edwardsburg, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730669714
- Provider Enumeration Date: 08/18/2018
- Last Update Date: 08/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 0749606762
- Enrollment ID: I20200820001413
Medical Identifiers
Medical identifiers for Melisa Michelle Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730669714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 5501010588 (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. Melisa Michelle Shafer allows following entities to bill medicare on her behalf.
| Provider Name | Arizona Luna Care Physical Therapy Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830 |
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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. Melisa Michelle 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 |
Melisa Michelle Shafer, PT 67236 Hess Rd, Edwardsburg, MI 49112-8627 Ph: () - | Melisa Michelle Shafer, PT 69045 M 62, Edwardsburg, MI 49112-9150 Ph: (269) 663-2201 |
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