Carlie Shields, - Medicare Occupational Therapist in Brandon, MS

Carlie Shields, is a medicare enrolled "Occupational Therapist" provider in Brandon, Mississippi. Her current practice location is 355 Crossgates Blvd, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 825-3192.

Carlie Shields is licensed to practice in Mississippi (license number OT3072) 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 1689046872.

Contact Information

Carlie Shields,
355 Crossgates Blvd,
Brandon, MS 39042-2602
(601) 825-3192
Not Available



Healthcare Provider's Profile

Full NameCarlie Shields
GenderFemale
SpecialityOccupational Therapist
Location355 Crossgates Blvd, Brandon, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689046872
  • Provider Enumeration Date: 10/27/2015
  • Last Update Date: 11/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921431347
  • Enrollment ID: I20191125002430

Medical Identifiers

Medical identifiers for Carlie Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689046872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT3072 (Mississippi)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. Carlie Shields allows following entities to bill medicare on her behalf.
Provider NamePerformance Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851427132
PECOS PAC ID: 7012971047
Enrollment ID: O20041118000549

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Provider NameDrayer Physical Therapy Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952732448
PECOS PAC ID: 3274834858
Enrollment ID: O20160314001040

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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. Carlie Shields 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
Carlie Shields,
Po Box 428,
Orchard Park, NY 14127-0428

Ph: (716) 662-4955
Carlie Shields,
355 Crossgates Blvd,
Brandon, MS 39042-2602

Ph: (601) 825-3192

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› Verified 3 days ago


Occupational Therapist in Brandon, MS

Thomas Haven Gazaway, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2015 Highpointe Drive, Brandon, MS 39042
Phone: 888-976-2667    Fax: 601-824-8816
Blair Mcgee Ot, Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 512 Turtle Ln, Brandon, MS 39047
Phone: 662-207-1090    Fax: 601-510-9861
Tameika M Smith, THERAPIST
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 613 Marquette Rd, Brandon, MS 39042
Phone: 601-824-0342    
Cheryl Lynn Dowell Worrell, M.S.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 355 Crossgates Blvd, Brandon, MS 39042
Phone: 601-825-3192    
Heather Marie Calnan, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1220 N Shore Pkwy, Suite B, Brandon, MS 39047
Phone: 601-829-0505    Fax: 601-829-0506
Jessica Nichols, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 906 Tetbury Pl, Brandon, MS 39047
Phone: 662-820-8732    
Live, Learn, Grow - Pediatric Therapy Solutions, Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 906 Tetbury Pl, Brandon, MS 39047
Phone: 662-820-8732    Fax: 601-202-9606

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