Mrs Marietta Suzanne Shepherd, PT - Medicare Physical Therapist in Shreveport, LA

Mrs Marietta Suzanne Shepherd, PT is a medicare enrolled "Physical Therapist" provider in Shreveport, Louisiana. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Therateam Outpatient Services, Llc and her current practice location is 6723 Pines Rd Ste 112, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 563-3944.

Mrs Marietta Suzanne Shepherd is licensed to practice in Louisiana (license number 04834) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063010148.

Contact Information

Mrs Marietta Suzanne Shepherd, PT
6723 Pines Rd Ste 112,
Shreveport, LA 71129-2590
(318) 563-3944
Not Available



Healthcare Provider's Profile

Full NameMrs Marietta Suzanne Shepherd
GenderFemale
SpecialityPhysical Therapy
Experience24 Years
Location6723 Pines Rd Ste 112, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Marietta Suzanne Shepherd graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1063010148
  • Provider Enumeration Date: 10/12/2020
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082002720
  • Enrollment ID: I20211028001901

Medical Identifiers

Medical identifiers for Mrs Marietta Suzanne Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063010148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 04834 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Therateam Outpatient Services, Llc55979952334

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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. Mrs Marietta Suzanne Shepherd allows following entities to bill medicare on her behalf.
Provider NameTherateam Outpatient Services, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1821333055
PECOS PAC ID: 5597995233
Enrollment ID: O20140225002228

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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. Mrs Marietta Suzanne Shepherd 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
Mrs Marietta Suzanne Shepherd, PT
6723 Pines Rd Ste 112,
Shreveport, LA 71129-2590

Ph: (318) 562-3944
Mrs Marietta Suzanne Shepherd, PT
6723 Pines Rd Ste 112,
Shreveport, LA 71129-2590

Ph: (318) 563-3944

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Physical Therapist in Shreveport, LA

Suzannah Kathryn York - Crump, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 266 Ockley Dr, Shreveport, LA 71105
Phone: 337-580-0083    Fax: 337-580-0083
Anna Means Moore, PT, DPT, OCS
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104
Phone: 318-841-0696    Fax: 318-841-0776
Archna Shasta,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105
Phone: 318-828-2972    
Eberhardt Physical Therapy & Wellness Clinic, Inc.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101
Phone: 318-222-7442    Fax: 318-424-4751
Claire Marie Melebeck, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103
Phone: 318-813-2961    Fax: 318-813-2989
Michael Wayne Wiltcher, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106
Phone: 318-469-4349    
Dr. Courtney E Page, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6969 Fern Loop Ste A, Shreveport, LA 71105
Phone: 317-383-0022    

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