Mr Shawn Rueze Hackley, PT in Fort Bragg, CA - Medicare Physical Therapist Provider

Mr Shawn Rueze Hackley, PT is a medicare enrolled "Physical Therapist" provider in Fort Bragg, California. His current practice location is 501 Cypress St, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at (707) 961-6191.

Mr Shawn Rueze Hackley is licensed to practice in California (license number PT14615) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295923233.

Contact Information

	Mr Shawn Rueze Hackley, PT
	501 Cypress St, Fort Bragg, CA 95437-5429
	(707) 961-6191
	(707) 964-6213

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Shawn Rueze Hackley
Gender	Male
Speciality	Physical Therapist
Location	501 Cypress St, Fort Bragg, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295923233
Provider Enumeration Date: 10/03/2007
Last Update Date: 12/28/2018

Medicare PECOS Information:

PECOS PAC ID: 5890885156
Enrollment ID: I20071226000513

Medical Identifiers

Medical identifiers for Mr Shawn Rueze Hackley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295923233	NPI	-	NPPES
1235316993	Other		CORPORATION NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT14615 (California)	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. Mr Shawn Rueze Hackley allows following entities to bill medicare on his behalf.

Provider Name	Hackley Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235316993 PECOS PAC ID: 3274611892 Enrollment ID: O20080423000324

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. Mr Shawn Rueze Hackley 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
Mr Shawn Rueze Hackley, PT 31740 Cedar St, Fort Bragg, CA 95437-3922 Ph: (707) 961-1606	Mr Shawn Rueze Hackley, PT 501 Cypress St, Fort Bragg, CA 95437-5429 Ph: (707) 961-6191

Reviews and Comments

Physical Therapist in Fort Bragg, CA

Tammy Gail Patrick, Physical Therapist Medicare: Medicare Enrolled Practice Location: 31500 Winding Way, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269
Mr. Larry D Hinson, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18661 Old Coast Hwy, Fort Bragg, CA 95437 Phone: 707-964-5645 Fax: 707-964-6213
Jocelyn Woodason, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32200 N Harbor Dr Spc 19, Fort Bragg, CA 95437 Phone: 615-651-5365
Sheri Lynn White-hackley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31740 Cedar St, Fort Bragg, CA 95437 Phone: 707-961-1606
Sarah Wagner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Boatyard Dr, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269
Pacific Physical Therapy Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Boatyard Dr, Ste A, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269

Mr Shawn Rueze Hackley, PT - Medicare Physical Therapist in Fort Bragg, CA