Russell Shane Gregory, DPT - Medicare Physical Therapist in Saint Clair Shores, MI

Russell Shane Gregory, DPT is a medicare enrolled "Physical Therapist" provider in Saint Clair Shores, Michigan. His current practice location is 24715 Little Mack Ave Ste 100, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 779-7970.

Russell Shane Gregory is licensed to practice in Michigan (license number 5501301924) 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 1437897667.

Contact Information

Russell Shane Gregory, DPT
24715 Little Mack Ave Ste 100,
Saint Clair Shores, MI 48080-3207
(586) 779-7970
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRussell Shane Gregory
GenderMale
SpecialityPhysical Therapist
Location24715 Little Mack Ave Ste 100, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437897667
  • Provider Enumeration Date: 05/26/2022
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163801820
  • Enrollment ID: I20220627001671

Medical Identifiers

Medical identifiers for Russell Shane Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437897667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501301924 (Michigan)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. Russell Shane Gregory allows following entities to bill medicare on his behalf.
Provider NameAssociated Orthopedists Of Detroit Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083686083
PECOS PAC ID: 3375440134
Enrollment ID: O20031218000543
Provider NameMichigan Luna Care Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003448994
PECOS PAC ID: 9032549217
Enrollment ID: O20200501000804

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. Russell Shane Gregory 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
Russell Shane Gregory, DPT
33900 Harper Ave Ste 104,
Clinton Twp, MI 48035-4258

Ph: (586) 350-2644
Russell Shane Gregory, DPT
24715 Little Mack Ave Ste 100,
Saint Clair Shores, MI 48080-3207

Ph: (586) 779-7970

Reviews and Comments


Physical Therapist in Saint Clair Shores, MI

Sachin Venkatachalam, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080
Phone: 586-773-1300    
Carey Ryan, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 24345 Harper Ave, Saint Clair Shores, MI 48080
Phone: 586-563-3300    Fax: 586-563-3313
Kathi Piepenbrok,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 23161 Greater Mack Ave, Saint Clair Shores, MI 48080
Phone: 586-779-8892    Fax: 586-779-2869
Alexis Rushton Motycka, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 25311 Little Mack Ave Ste A, Saint Clair Shores, MI 48081
Phone: 586-771-4900    Fax: 586-771-4993
Donna Tavalieri, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 19505 E 8 Mile Rd, Saint Clair Shores, MI 48080
Phone: 586-445-8200    Fax: 586-445-8201
Madhavi Prakash Vachhani, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 29150 Harper Ave, Saint Clair Shores, MI 48081
Phone: 586-779-0911    Fax: 586-779-0907
Mrs. Chelsea M Hoffmeyer, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080
Phone: 586-779-7970    Fax: 586-779-7748

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.