Mrs Kimberly Anne Shore, PT in Advance, NC - Medicare Physical Therapist Provider

Mrs Kimberly Anne Shore, PT is a medicare enrolled "Physical Therapist" provider in Advance, North Carolina. Her current practice location is 142 Bermuda Village Dr, Advance, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 940-6433.

Mrs Kimberly Anne Shore is licensed to practice in North Carolina (license number 8633) 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 1588816417.

Contact Information

	Mrs Kimberly Anne Shore, PT
	142 Bermuda Village Dr, Advance, NC 27006-7867
	(336) 940-6433
	(336) 940-6235

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Anne Shore
Gender	Female
Speciality	Physical Therapist
Location	142 Bermuda Village Dr, Advance, 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: 1588816417
Provider Enumeration Date: 10/22/2008
Last Update Date: 10/22/2008

Medicare PECOS Information:

PECOS PAC ID: 6406201698
Enrollment ID: I20231007000881

Medical Identifiers

Medical identifiers for Mrs Kimberly Anne Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588816417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8633 (North Carolina)	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. Mrs Kimberly Anne Shore allows following entities to bill medicare on her behalf.

Provider Name	Paragon Outpatient Rehabilitation Services, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895

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. Mrs Kimberly Anne Shore 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
Mrs Kimberly Anne Shore, PT 224 Longwood Dr, Advance, NC 27006-6785 Ph: (336) 998-0758	Mrs Kimberly Anne Shore, PT 142 Bermuda Village Dr, Advance, NC 27006-7867 Ph: (336) 940-6433

Reviews and Comments

Physical Therapist in Advance, NC

Linda Kirk Manthey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Bermuda Village Dr, Advance, NC 27006 Phone: 336-940-6433
Mrs. Gina G. Reece, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Bermuda Village Dr, Advance, NC 27006 Phone: 336-998-6112
Deborah Neves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Suntree Ct, Advance, NC 27006 Phone: 336-782-8193
Christa Cook, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 316 N Carolina 801, Advance, NC 27006 Phone: 336-998-0240
Deborah Woodburn Marshall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Bermuda Village Dr, Advance, NC 27006 Phone: 336-940-6433
Catherine Elizabeth Mulgrew, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Bermuda Village Dr, Advance, NC 27006 Phone: 336-998-6112

Mrs Kimberly Anne Shore, PT - Medicare Physical Therapist in Advance, NC