Mrs Stacie Selfridge, OT - Medicare Occupational Therapist in Boston, MA

Mrs Stacie Selfridge, OT is a medicare enrolled "Occupational Therapist" provider in Boston, Massachusetts. Her current practice location is 30 Northampton Street, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 433-9601.

Mrs Stacie Selfridge is licensed to practice in Massachusetts (license number 11033) 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 1023438801.

Contact Information

Mrs Stacie Selfridge, OT
30 Northampton Street,
Boston, MA 02118-4010
(617) 433-9601
(617) 445-6538



Healthcare Provider's Profile

Full NameMrs Stacie Selfridge
GenderFemale
SpecialityOccupational Therapist
Location30 Northampton Street, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023438801
  • Provider Enumeration Date: 04/21/2014
  • Last Update Date: 10/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0547489452
  • Enrollment ID: I20140908001748

Medical Identifiers

Medical identifiers for Mrs Stacie Selfridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023438801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 11033 (Massachusetts)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 Stacie Selfridge allows following entities to bill medicare on her behalf.
Provider NameBostons Community Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235174418
PECOS PAC ID: 1355390691
Enrollment ID: O20050113000756

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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 Stacie Selfridge 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 Stacie Selfridge, OT
30 Northampton Street,
Boston, MA 02118-4010

Ph: (617) 433-9601
Mrs Stacie Selfridge, OT
30 Northampton Street,
Boston, MA 02118-4010

Ph: (617) 433-9601

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Occupational Therapist in Boston, MA

Asiya Baksh, MS
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Warren St, Boston, MA 02135
Phone: 617-254-3800    Fax: 617-779-1361
Ms. Jennifer Lynne Reynolds, OTRL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: Tufts New England Medical Center 750 Washington Street, Boston, MA 02111
Phone: 617-636-5000    
Elizabeth Mf Lin, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 300 Longwood Ave, Boston, MA 02115
Phone: 617-355-7212    Fax: 617-730-0151
Miss Lisa Jane Evans, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Parkman St, Boston, MA 02114
Phone: 617-724-0147    Fax: 617-726-3004
Ms. Jennfier Kaldenberg, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 930 Commonwealth Ave, Boston, MA 02215
Phone: 617-262-2020    Fax: 617-236-6323
Stephanie Jonnie Karban, M.S., OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Parkman St, Mgh Main Campus: Department Of Occupational Therapy, Boston, MA 02114
Phone: 617-726-8537    

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