Jeanette Shannon-alix, - Medicare Physical Therapist in Bridgeport, WV

Jeanette Shannon-alix, is a medicare enrolled "Physical Therapist" provider in Bridgeport, West Virginia. Her current practice location is 41 Crestview Ter, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 842-3610.

Jeanette Shannon-alix is licensed to practice in West Virginia (license number 1215) 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 1558488916.

Contact Information

Jeanette Shannon-alix,
41 Crestview Ter,
Bridgeport, WV 26330-1010
(304) 842-3610
Not Available



Healthcare Provider's Profile

Full NameJeanette Shannon-alix
GenderFemale
SpecialityPhysical Therapist
Location41 Crestview Ter, Bridgeport, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558488916
  • Provider Enumeration Date: 03/23/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7113109745
  • Enrollment ID: I20110303000192

Medical Identifiers

Medical identifiers for Jeanette Shannon-alix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558488916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1215 (West Virginia)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. Jeanette Shannon-alix allows following entities to bill medicare on her behalf.
Provider NameWv Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1063692333
PECOS PAC ID: 8123106416
Enrollment ID: O20080428000417

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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. Jeanette Shannon-alix 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
Jeanette Shannon-alix,
81 Samantha Drive,
Fairmont, WV 26554

Ph: () -
Jeanette Shannon-alix,
41 Crestview Ter,
Bridgeport, WV 26330-1010

Ph: (304) 842-3610

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Physical Therapist in Bridgeport, WV

Mrs. Lawren Elizabeth Sandy, MPT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 306 W Main St, Bridgeport, WV 26330
Phone: 304-842-3137    Fax: 304-842-3138
Stephanie Sellas,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 141 State St, Bridgeport, WV 26330
Phone: 304-933-3073    Fax: 304-933-3187
Breanna Nicole Lloyd,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2025 White Oaks Blvd, Bridgeport, WV 26330
Phone: 681-842-4082    
Gregory Lee Roberson,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 415 Benedum Dr, Bridgeport, WV 26330
Phone: 304-842-9887    Fax: 304-842-9888
Christopher Ude, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1126 Worthington Dr, Bridgeport, WV 26330
Phone: 304-612-0119    
Jason Fertig, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 37 Grande Meadows Dr Ste 102, Bridgeport, WV 26330
Phone: 304-592-2009    Fax: 304-599-7800
Ms. Ruth Tunick, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 306 W Main St, Bridgeport, WV 26330
Phone: 304-842-9887    

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