Shane Davis Physical Therapy Pc - Medicare Physical Therapist in Boonville, NY

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Shane Davis Physical Therapy Pc is a medicare enrolled "Physical Therapist" provider in Boonville, New York. Their current practice location is 13040 State Route 12, Boonville, New York. You can reach out to their office (for appointments etc.) via phone at (315) 358-4028.

Shane Davis Physical Therapy Pc is licensed to practice in New York (license number 022935) and it also participates in the medicare program. Shane Davis Physical Therapy Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1679812747.

Contact Information

Shane Davis Physical Therapy Pc
13040 State Route 12,
Boonville, NY 13309-4942
(315) 358-4028
(315) 358-4394

Map and Direction




Healthcare Provider's Profile

Full NameShane Davis Physical Therapy Pc
TypeFacility
SpecialityPhysical Therapist
Location13040 State Route 12, Boonville, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679812747
  • Provider Enumeration Date: 02/08/2013
  • Last Update Date: 06/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5395982839
  • Enrollment ID: O20130501000019

Medical Identifiers

Medical identifiers for Shane Davis Physical Therapy Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679812747NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 022935 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shane Davis Physical Therapy Pc acts as a billing entity for following providers:
Provider NameShane G Davis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033170725
PECOS PAC ID: 0840279634
Enrollment ID: I20040715000808

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. Shane Davis Physical Therapy Pc 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
Shane Davis Physical Therapy Pc
13040 State Route 12,
Boonville, NY 13309-4942

Ph: (315) 358-4028		Shane Davis Physical Therapy Pc
13040 State Route 12,
Boonville, NY 13309-4942

Ph: (315) 358-4028

Reviews and Comments


Physical Therapist in Boonville, NY

Shane Davis, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 13040 State Route 12, Boonville, NY 13309
Phone: 315-358-4028    Fax: 315-358-4394
Dr. Elaine Marie Moore, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 110 Ford St, Boonville, NY 13309
Phone: 315-942-9220    
Sandra Patrick Beasock, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1591 Hines Rd, Boonville, NY 13309
Phone: 315-942-3101    

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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.

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