Mrs Kristin Tyse Shadduck, PT in Los Altos, CA - Medicare Physical Therapy Provider

Mrs Kristin Tyse Shadduck, PT is a medicare enrolled "Physical Therapist" provider in Los Altos, California. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Shadduck - Physical Therapy Works Inc and her current practice location is 794 Altos Oaks Dr, Los Altos, California. You can reach out to her office (for appointments etc.) via phone at (650) 947-9646.

Mrs Kristin Tyse Shadduck is licensed to practice in California (license number 11542) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255348462.

Contact Information

	Mrs Kristin Tyse Shadduck, PT
	794 Altos Oaks Dr, Los Altos, CA 94024-6013
	(650) 947-9646
	(650) 947-9566

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristin Tyse Shadduck
Gender	Female
Speciality	Physical Therapy
Experience	43 Years
Location	794 Altos Oaks Dr, Los Altos, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristin Tyse Shadduck graduated from medical school in 1981

NPI Data:

NPI Number: 1255348462
Provider Enumeration Date: 08/01/2006
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6204851801
Enrollment ID: I20051012001148

Medical Identifiers

Medical identifiers for Mrs Kristin Tyse Shadduck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255348462	NPI	-	NPPES
CG5266	Other	CA	RAILROAD MEDICARE
ZZZ555752	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11542 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shadduck - Physical Therapy Works Inc	6507259538	11

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 Kristin Tyse Shadduck allows following entities to bill medicare on her behalf.

Provider Name	Shadduck - Physical Therapy Works Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114678794 PECOS PAC ID: 6507259538 Enrollment ID: O20220215001108

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 Kristin Tyse Shadduck 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 Kristin Tyse Shadduck, PT 794 Altos Oaks Dr, Los Altos, CA 94024-6013 Ph: (650) 947-9646	Mrs Kristin Tyse Shadduck, PT 794 Altos Oaks Dr, Los Altos, CA 94024-6013 Ph: (650) 947-9646

Reviews and Comments

Physical Therapist in Los Altos, CA

Physical Therapy For Health, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 Fremont Ave, Suite 114, Los Altos, CA 94024 Phone: 650-947-0121 Fax: 650-947-0121
Jill Rytand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Fremont Ave, Ste. 108, Los Altos, CA 94024 Phone: 650-947-8500 Fax: 650-947-8501
Katrina Lee Wong, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1000 Fremont Ave Ste 108, Los Altos, CA 94024 Phone: 650-947-8500 Fax: 650-947-8501
Lance Stanley Westcott, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 240 2nd St, Los Altos, CA 94022 Phone: 650-941-7600 Fax: 650-941-7603
Nidhi Malav Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 373 Pine Ln, Los Altos, CA 94022 Phone: 650-209-3530
Shadduck - Physical Therapy Works Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 794 Altos Oaks Dr, Los Altos, CA 94024 Phone: 650-947-9646 Fax: 650-947-9566
Mr. Michael W. Croft, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 795 Altos Oaks Dr, Los Altos, CA 94024 Phone: 650-947-9646

Mrs Kristin Tyse Shadduck, PT - Medicare Physical Therapist in Los Altos, CA