Shane Stovall, RPT in Ardmore, OK - Medicare Physical Therapist Provider

Shane Stovall, RPT is a medicare enrolled "Physical Therapist" provider in Ardmore, Oklahoma. His current practice location is 1405 4th Ave Nw # 296, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 795-4768.

Shane Stovall is licensed to practice in Oklahoma (license number 2905) 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 1205929064.

Contact Information

	Shane Stovall, RPT
	1405 4th Ave Nw # 296, Ardmore, OK 73401-2708
	(580) 795-4768
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Stovall
Gender	Male
Speciality	Physical Therapist
Location	1405 4th Ave Nw # 296, Ardmore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205929064
Provider Enumeration Date: 10/02/2006
Last Update Date: 09/22/2009

Medicare PECOS Information:

PECOS PAC ID: 0749320851
Enrollment ID: I20100109000135

Medical Identifiers

Medical identifiers for Shane Stovall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205929064	NPI	-	NPPES
1743403 01	Medicaid	TX
100833900C	Medicaid	OK
100833900A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2905 (Oklahoma)	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 Stovall allows following entities to bill medicare on his behalf.

Provider Name	Summit Rehab Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447480082 PECOS PAC ID: 4486794591 Enrollment ID: O20091222000314

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 Stovall 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 Stovall, RPT 1405 4th Ave Nw # 296, Ardmore, OK 73401-2708 Ph: (580) 795-4768	Shane Stovall, RPT 1405 4th Ave Nw # 296, Ardmore, OK 73401-2708 Ph: (580) 795-4768

Reviews and Comments

Physical Therapist in Ardmore, OK

Mercy Memorial Health Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 N Commerce St, Ardmore, OK 73401 Phone: 580-220-6285 Fax: 580-220-6287
Prime Rehab Partners, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2419 N Commerce St Ste A, Ardmore, OK 73401 Phone: 580-630-5933 Fax: 580-630-5222
Mr. Jim Lee Pitman, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 W Main St, Suite 200, Ardmore, OK 73401 Phone: 580-223-3383 Fax: 580-223-6696
C Mark Fleming, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 4th Ave Nw # 296, Ardmore, OK 73401 Phone: 580-223-6448 Fax: 580-223-6448
Joel Nedley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 4th Ave Nw # 296, Ardmore, OK 73401 Phone: 580-226-5566
Home Mods By Therapists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3424 Mount Washington Rd, Ardmore, OK 73401 Phone: 580-221-3950

Shane Stovall, RPT - Medicare Physical Therapist in Ardmore, OK