Rebecca Costello Shetlar, DPT in Wagoner, OK - Medicare Physical Therapist Provider

Rebecca Costello Shetlar, DPT is a medicare enrolled "Physical Therapist" provider in Wagoner, Oklahoma. Her current practice location is 817 W Cherokee St, Wagoner, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (812) 628-3060.

Rebecca Costello Shetlar is licensed to practice in * (Not Available) (license number ) 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 1063105658.

Contact Information

	Rebecca Costello Shetlar, DPT
	817 W Cherokee St, Wagoner, OK 74467-4616
	(812) 628-3060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rebecca Costello Shetlar
Gender	Female
Speciality	Physical Therapist
Location	817 W Cherokee St, Wagoner, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063105658
Provider Enumeration Date: 05/30/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5294195020
Enrollment ID: I20240522000156

Medical Identifiers

Medical identifiers for Rebecca Costello Shetlar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063105658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Rebecca Costello Shetlar allows following entities to bill medicare on her behalf.

Provider Name	Kansas Physical Therapy Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1003584657 PECOS PAC ID: 5294124707 Enrollment ID: O20211122001784

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. Rebecca Costello Shetlar 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
Rebecca Costello Shetlar, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (812) 628-3060	Rebecca Costello Shetlar, DPT 817 W Cherokee St, Wagoner, OK 74467-4616 Ph: (812) 628-3060

Reviews and Comments

Physical Therapist in Wagoner, OK

Jace Evan Sharp, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-1212 Fax: 918-485-1335
Jennifer Rae Murr, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126
Bradley Edward Holland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126
Josephine Carsten, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 817 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-3100 Fax: 918-485-3126
Mr. Michael D Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 W Cherokee St, Wagoner, OK 74467 Phone: 918-485-1323 Fax: 918-485-9486

Rebecca Costello Shetlar, DPT - Medicare Physical Therapist in Wagoner, OK