Shantel Blume, DPT, CLT - Medicare Physical Therapist in Gallup, NM

Shantel Blume, DPT, CLT is a medicare enrolled "Physical Therapist" provider in Gallup, New Mexico. Her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Shantel Blume is licensed to practice in Virginia (license number 2305208078) 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 1073045282.

Contact Information

Shantel Blume, DPT, CLT
516 E Nizhoni Blvd,
Gallup, NM 87301-5748
(505) 722-1000
Not Available



Healthcare Provider's Profile

Full NameShantel Blume
GenderFemale
SpecialityPhysical Therapist
Location516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073045282
  • Provider Enumeration Date: 03/28/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597021014
  • Enrollment ID: I20171115002884

Medical Identifiers

Medical identifiers for Shantel Blume such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073045282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2305208078 (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. Shantel Blume allows following entities to bill medicare on her behalf.
Provider NameDhhs,phs,naihs, Gallup Indian Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225002322
PECOS PAC ID: 3173436409
Enrollment ID: O20031111000840

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Provider NameLawton Indian Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1760489223
PECOS PAC ID: 6406800234
Enrollment ID: O20050304000301

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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. Shantel Blume 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
Shantel Blume, DPT, CLT
516 E Nizhoni Blvd,
Gallup, NM 87301-5748

Ph: (505) 722-1000
Shantel Blume, DPT, CLT
516 E Nizhoni Blvd,
Gallup, NM 87301-5748

Ph: (505) 722-1000

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Physical Therapist in Gallup, NM

Nancy Canto,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, Gallup, NM 87301
Phone: 505-721-1800    Fax: 505-721-1899
Christine Sanchez,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    
Natasha Hite, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 510 W Maloney Ave, Gallup, NM 87301
Phone: 505-488-2615    
Maya Rose Bernadett-peters, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    
Mrs. Liberty Javenia Ang, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, Gallup, NM 87301
Phone: 505-721-1839    
Lynn Torres, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 106 Boardman Dr, Gallup, NM 87301
Phone: 505-722-9188    Fax: 505-926-0910

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