Mikaela Leslie Shields, DPT in Moultonborough, NH - Medicare Physical Therapist Provider

Mikaela Leslie Shields, DPT is a medicare enrolled "Physical Therapist" provider in Moultonborough, New Hampshire. Her current practice location is 1040 Whittier Hwy, Moultonborough, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 273-1570.

Mikaela Leslie Shields is licensed to practice in New Hampshire (license number 5200) 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 1073296695.

Contact Information

	Mikaela Leslie Shields, DPT
	1040 Whittier Hwy, Moultonborough, NH 03254
	(603) 273-1570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaela Leslie Shields
Gender	Female
Speciality	Physical Therapist
Location	1040 Whittier Hwy, Moultonborough, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073296695
Provider Enumeration Date: 08/10/2023
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7416304803
Enrollment ID: I20231107000621

Medical Identifiers

Medical identifiers for Mikaela Leslie Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073296695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5200 (New Hampshire)	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. Mikaela Leslie Shields allows following entities to bill medicare on her behalf.

Provider Name	White Mountain Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497372585 PECOS PAC ID: 2567889165 Enrollment ID: O20201030000559

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. Mikaela Leslie Shields 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
Mikaela Leslie Shields, DPT Po Box 121, Cornish, ME 04020-0121 Ph: (207) 272-3446	Mikaela Leslie Shields, DPT 1040 Whittier Hwy, Moultonborough, NH 03254 Ph: (603) 273-1570

Reviews and Comments

Physical Therapist in Moultonborough, NH

White Mountain Physical Therapy, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Whittier Hwy, Unit 3, Moultonborough, NH 03254 Phone: 603-273-1570
Allyson Coggins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Whittier Hwy, Moultonborough, NH 03254 Phone: 603-273-1570
Justin Clark, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1040 Whittier Highway, Unit 3, Moultonborough, NH 03254 Phone: 603-273-1570 Fax: 603-255-3559

Mikaela Leslie Shields, DPT - Medicare Physical Therapist in Moultonborough, NH