Mrs Shelby Brazeal, - Medicare Occupational Therapist in Ash Flat, AR

Mrs Shelby Brazeal, is a medicare enrolled "Occupational Therapist" provider in Ash Flat, Arkansas. Her current practice location is 75 Highway 62 412 Ste A, Ash Flat, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 994-7778.

Mrs Shelby Brazeal is licensed to practice in Arkansas (license number OTR2769) 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 1679978233.

Contact Information

Mrs Shelby Brazeal,
75 Highway 62 412 Ste A,
Ash Flat, AR 72513-9629
(870) 994-7778
Not Available



Healthcare Provider's Profile

Full NameMrs Shelby Brazeal
GenderFemale
SpecialityOccupational Therapist
Location75 Highway 62 412 Ste A, Ash Flat, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679978233
  • Provider Enumeration Date: 10/24/2014
  • Last Update Date: 10/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4183089618
  • Enrollment ID: I20230504002929

Medical Identifiers

Medical identifiers for Mrs Shelby Brazeal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679978233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTR2769 (Arkansas)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. Mrs Shelby Brazeal allows following entities to bill medicare on her behalf.
Provider NameSpring River Home Health Agency Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205476322
PECOS PAC ID: 5991967796
Enrollment ID: O20210120000062

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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 Shelby Brazeal 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 Shelby Brazeal,
75 Highway 62 412 Ste A,
Ash Flat, AR 72513-9629

Ph: () -
Mrs Shelby Brazeal,
75 Highway 62 412 Ste A,
Ash Flat, AR 72513-9629

Ph: (870) 994-7778

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Occupational Therapist in Ash Flat, AR

Sherry Bunch Inc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 120 Nix Ridge Rd, Ash Flat, AR 72513
Phone: 870-994-3103    
Isaacs Occupational Therapy, Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 33 Court Rd, Ash Flat, AR 72513
Phone: 870-710-0377    Fax: 870-994-2372
Alicia Dawn Mcbryde, OTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3775 Highway 167, Ash Flat, AR 72513
Phone: 870-994-2231    
Mrs. Melanie Ann Isaacs,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: #873 Hwy 354, Ash Flat, AR 72513
Phone: 870-994-2372    
Aaron Patrick Culver, OTD R/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2 Tuff St, Ash Flat, AR 72513
Phone: 870-944-7778    
Advanced Therapy Connection, Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 75 Highway 62 412 Ste L, Ash Flat, AR 72513
Phone: 870-262-7480    

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