Shelly Wilson, PT in Bolingbrook, IL - Medicare Physical Therapist Provider

Shelly Wilson, PT is a medicare enrolled "Physical Therapist" provider in Bolingbrook, Illinois. Her current practice location is 790 Remington Blvd, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 296-2222.

Shelly Wilson is licensed to practice in New Mexico (license number 3435) 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 1275712812.

Contact Information

	Shelly Wilson, PT
	790 Remington Blvd, Bolingbrook, IL 60440-4909
	(630) 296-2222
	(630) 759-9510

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly Wilson
Gender	Female
Speciality	Physical Therapist
Location	790 Remington Blvd, Bolingbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275712812
Provider Enumeration Date: 10/31/2007
Last Update Date: 01/12/2017

Medicare PECOS Information:

PECOS PAC ID: 8022268523
Enrollment ID: I20121018000272

Medical Identifiers

Medical identifiers for Shelly Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275712812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3435 (New Mexico)	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. Shelly Wilson allows following entities to bill medicare on her behalf.

Provider Name	Active Solutions Therapy Serv Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720075880 PECOS PAC ID: 9638132830 Enrollment ID: O20041109000489

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. Shelly Wilson 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
Shelly Wilson, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222	Shelly Wilson, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222

Reviews and Comments

Physical Therapist in Bolingbrook, IL

Jennifer N Warning, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169
Samuel Almoguera Tambago Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2224 Misty Creek Trl, Bolingbrook, IL 60490 Phone: 714-417-6155
Erika Lauren Elder, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Remington Blvd, Bolingbrook, IL 60440 Phone: 630-296-2223
Annie Malone, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420
Douglas Bradley, PT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850 Fax: 630-771-0852
Kristin Marie Lally, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 313 N Weber Rd, Bolingbrook, IL 60490 Phone: 630-771-0850
Patricia Victoria D. Castro- Ladra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 863 W Briarcliff Rd, Bolingbrook, IL 60440 Phone: 630-935-3920

Shelly Wilson, PT - Medicare Physical Therapist in Bolingbrook, IL