Ms Shannon Sullivan, PT - Medicare Physical Therapist in New Hartford, NY

Ms Shannon Sullivan, PT is a medicare enrolled "Physical Therapist" provider in New Hartford, New York. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Slocum Dickson Medical Group Pllc and her current practice location is 1729 Burrstone Rd, New Hartford, New York. You can reach out to her office (for appointments etc.) via phone at (315) 798-1415.

Ms Shannon Sullivan is licensed to practice in New York (license number 024013) 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 1194716605.

Contact Information

Ms Shannon Sullivan, PT
1729 Burrstone Rd,
New Hartford, NY 13413-1001
(315) 798-1415
(315) 798-1700



Healthcare Provider's Profile

Full NameMs Shannon Sullivan
GenderFemale
SpecialityPhysical Therapy
Experience22 Years
Location1729 Burrstone Rd, New Hartford, New York
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:
  • Ms Shannon Sullivan graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1194716605
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002840808
  • Enrollment ID: I20050921000623

Medical Identifiers

Medical identifiers for Ms Shannon Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194716605NPI-NPPES
02290288MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 024013 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Slocum Dickson Medical Group Pllc5799778510111

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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. Ms Shannon Sullivan allows following entities to bill medicare on her behalf.
Provider NameSlocum Dickson Medical Group Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285625996
PECOS PAC ID: 5799778510
Enrollment ID: O20040407000427

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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. Ms Shannon Sullivan 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
Ms Shannon Sullivan, PT
1729 Burrstone Rd,
New Hartford, NY 13413-1001

Ph: (315) 798-1415
Ms Shannon Sullivan, PT
1729 Burrstone Rd,
New Hartford, NY 13413-1001

Ph: (315) 798-1415

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Physical Therapist in New Hartford, NY

Suzanne W Buschor, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413
Phone: 315-798-1700    Fax: 315-798-1707
Mrs. Antonina Marie Cosamano, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 104 New Hartford Shopping Ctr, New Hartford, NY 13413
Phone: 315-793-1878    Fax: 315-793-1868
Tracey Rugari, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3917 Oneida St, New Hartford, NY 13413
Phone: 315-404-4217    
Physical Therapy Of Washington Mills
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3995b Oneida St, New Hartford, NY 13413
Phone: 315-737-1414    Fax: 315-737-1440
Ms. Nicole Marie Hebert, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2050 Tilden Ave, Box 1000, New Hartford, NY 13413
Phone: 315-797-3114    Fax: 315-624-0474
Joseph A Decondo, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4290 Middle Settlement Rd, New Hartford, NY 13413
Phone: 315-272-2200    
Carly Zegarelli, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413
Phone: 315-798-1415    Fax: 315-798-1492

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