Mrs Shanna A Jimerson, PT - Medicare Physical Therapist in Southaven, MS

Mrs Shanna A Jimerson, PT is a medicare enrolled "Physical Therapist" provider in Southaven, Mississippi. Her current practice location is 3451 Goodman Rd E Ste 108, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 890-6953.

Mrs Shanna A Jimerson is licensed to practice in Mississippi (license number PT6112) 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 1891092722.

Contact Information

Mrs Shanna A Jimerson, PT
3451 Goodman Rd E Ste 108,
Southaven, MS 38672-9305
(662) 890-6953
(662) 890-6954

Map and Direction




Healthcare Provider's Profile

Full NameMrs Shanna A Jimerson
GenderFemale
SpecialityPhysical Therapist
Location3451 Goodman Rd E Ste 108, Southaven, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891092722
  • Provider Enumeration Date: 02/11/2011
  • Last Update Date: 03/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577749779
  • Enrollment ID: I20170502000463

Medical Identifiers

Medical identifiers for Mrs Shanna A Jimerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891092722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT3331 (Arkansas)Secondary
225100000XPhysical Therapist PTH6346 (Alabama)Secondary
225100000XPhysical Therapist PT6112 (Mississippi)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 Shanna A Jimerson allows following entities to bill medicare on her behalf.
Provider NameDynamic Rehabilitation Services, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1194102434
PECOS PAC ID: 6103138326
Enrollment ID: O20150701000281

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 Shanna A Jimerson 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 AddressPractice Location Address
Mrs Shanna A Jimerson, PT
Po Box 306393,
Nashville, TN 37230-6393

Ph: (615) 373-1350
Mrs Shanna A Jimerson, PT
3451 Goodman Rd E Ste 108,
Southaven, MS 38672-9305

Ph: (662) 890-6953

Reviews and Comments


Physical Therapist in Southaven, MS

Parker P Haberstroh,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671
Phone: 662-548-3650    Fax: 662-654-8029
Michael Newton Phillips, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3451 Goodman Rd E Ste 108, Southaven, MS 38672
Phone: 662-890-6953    
Mrs. Deborah Jill Patton, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5271 Getwell Rd, Southaven, MS 38672
Phone: 662-510-5694    
Mrs. Tara Elaine Burt, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671
Phone: 662-536-4096    Fax: 662-536-4099
Ms. Jerrica Thomas,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3208    
Lacey Moody,
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672
Phone: 662-890-6953    Fax: 662-890-6954
Mrs. Jennifer Dixon Brown, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3208    Fax: 901-759-3216

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.