Shane O'brennan, in Rolla, MO - Medicare Physical Therapist Provider

Shane O'brennan, is a medicare enrolled "Physical Therapist" provider in Rolla, Missouri. His current practice location is 12750 Cinnamon Ct, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 578-5702.

Shane O'brennan is licensed to practice in * (Not Available) (license number ) 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 1518741073.

Contact Information

	Shane O'brennan,
	12750 Cinnamon Ct, Rolla, MO 65401-8703
	(573) 578-5702
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane O'brennan
Gender	Male
Speciality	Physical Therapist
Location	12750 Cinnamon Ct, Rolla, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518741073
Provider Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2264886530
Enrollment ID: I20230921000543

Medical Identifiers

Medical identifiers for Shane O'brennan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518741073	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. Shane O'brennan allows following entities to bill medicare on his behalf.

Provider Name	Advanced Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030

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 O'brennan 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
Shane O'brennan, 12750 Cinnamon Ct, Rolla, MO 65401-8703 Ph: (573) 578-5702	Shane O'brennan, 12750 Cinnamon Ct, Rolla, MO 65401-8703 Ph: (573) 578-5702

Reviews and Comments

Physical Therapist in Rolla, MO

Dr. Rebekah Jane Pounds, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1517 Pin Oak Ct Apt A, Rolla, MO 65401 Phone: 417-766-6715
Drake T Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 603 S Bishop Ave Ste B, Rolla, MO 65401 Phone: 573-202-6537 Fax: 573-426-7001
Brooke Boente, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Homelife Plz, Rolla, MO 65401 Phone: 217-556-9656
Sport Rehab, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 906 N Cedar St, Rolla, MO 65401 Phone: 573-368-0999 Fax: 573-368-2777
Nicholas R Giacalone, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 603 S Bishop Ave Ste B, Rolla, MO 65401 Phone: 573-202-6537 Fax: 573-426-7001
Mr. Rob Edward Light, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1712 Line Ave, Rolla, MO 65401 Phone: 573-578-6121

Shane O'brennan, - Medicare Physical Therapist in Rolla, MO