Shannon Black, - Medicare Physical Therapist in Anchorage, AK

Shannon Black, is a medicare enrolled "Physical Therapist" provider in Anchorage, Alaska. She went to University Of Wisconsin School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice United Physical Therapy Inc, Ascension Physical Therapy Llc and her current practice location is 4100 Lake Otis Pkwy, Ste 106, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 550-6180.

Shannon Black is licensed to practice in * (Not Available) (license number ) 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 1629184213.

Contact Information

Shannon Black,
4100 Lake Otis Pkwy, Ste 106,
Anchorage, AK 99508-5222
(907) 550-6180
Not Available



Healthcare Provider's Profile

Full NameShannon Black
GenderFemale
SpecialityPhysical Therapy
Experience31 Years
Location4100 Lake Otis Pkwy, Anchorage, Alaska
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:
  • Shannon Black attended and graduated from University Of Wisconsin School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1629184213
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688566052
  • Enrollment ID: I20040329001325

Medical Identifiers

Medical identifiers for Shannon Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629184213NPI-NPPES
1036OtherAKLICENSE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Physical Therapy Inc135523185324
Ascension Physical Therapy Llc64067580852

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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. Shannon Black allows following entities to bill medicare on her behalf.
Provider NameAscension Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1528126794
PECOS PAC ID: 6406758085
Enrollment ID: O20040123000539

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Provider NameUnited Physical Therapy Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609888130
PECOS PAC ID: 1355231853
Enrollment ID: O20040318000366

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Provider NameReger Enterprises, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649590530
PECOS PAC ID: 5597895987
Enrollment ID: O20100610001120

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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. Shannon Black 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
Shannon Black,
331 Pettis Rd,
Anchorage, AK 99515-3350

Ph: (907) 522-2435
Shannon Black,
4100 Lake Otis Pkwy, Ste 106,
Anchorage, AK 99508-5222

Ph: (907) 550-6180

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Physical Therapist in Anchorage, AK

Katrina F Johnson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508
Phone: 907-563-2662    
Jessie Lief,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4031 Winchester Loop, Anchorage, AK 99507
Phone: 907-244-8048    
Zoe Anneliese Morris Nelson, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1917 Abbott Rd Ste 200, Anchorage, AK 99507
Phone: 907-279-4266    
Normajean Farr, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2221 E Northern Lights Blvd, Suite 106, Anchorage, AK 99508
Phone: 907-677-5605    
Mary Beth Nearing, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 602 W 42nd Ave, Anchorage, AK 99503
Phone: 907-360-9448    Fax: 907-346-1470
Kids Are People Too Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6311 Debarr Rd, Suite J, Anchorage, AK 99504
Phone: 907-830-3592    Fax: 907-338-4691
Ms. Catherine A Coward, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9500 Independence Dr, Ste 900, Anchorage, AK 99507
Phone: 907-522-1341    Fax: 907-522-1343

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