Mrs Stacy Nichole Tri, MS, OTR/L - Medicare Occupational Therapist in Woodbury, MN

Mrs Stacy Nichole Tri, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Woodbury, Minnesota. Her current practice location is 2101 Wooddale Dr Ste A, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 738-9888.

Mrs Stacy Nichole Tri is licensed to practice in Minnesota (license number 102369) 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 1578898300.

Contact Information

Mrs Stacy Nichole Tri, MS, OTR/L
2101 Wooddale Dr Ste A,
Woodbury, MN 55125-2933
(651) 738-9888
(651) 738-9889



Healthcare Provider's Profile

Full NameMrs Stacy Nichole Tri
GenderFemale
SpecialityOccupational Therapist
Location2101 Wooddale Dr Ste A, Woodbury, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578898300
  • Provider Enumeration Date: 10/13/2009
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991033904
  • Enrollment ID: I20190828001523

Medical Identifiers

Medical identifiers for Mrs Stacy Nichole Tri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578898300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 102369 (Minnesota)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 Stacy Nichole Tri allows following entities to bill medicare on her behalf.
Provider NameFamily Achievement Center Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952411175
PECOS PAC ID: 6800795444
Enrollment ID: O20040102000720

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Provider NameFunctional Integrated Therapy, Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477640613
PECOS PAC ID: 9234189879
Enrollment ID: O20050131001036

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› Verified 9 days ago

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 Stacy Nichole Tri 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 Stacy Nichole Tri, MS, OTR/L
2101 Wooddale Dr Ste A,
Woodbury, MN 55125-2933

Ph: (651) 738-9888
Mrs Stacy Nichole Tri, MS, OTR/L
2101 Wooddale Dr Ste A,
Woodbury, MN 55125-2933

Ph: (651) 738-9888

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› Verified 9 days ago


Occupational Therapist in Woodbury, MN

Heather Foerster-bach, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 10459 Raleigh Rd, Woodbury, MN 55129
Phone: 928-607-4233    
Colleen Rubin,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2101 Wooddale Dr, Suite A., Woodbury, MN 55125
Phone: 651-738-9888    Fax: 651-738-9889
Patricia Ann Carroll, OTRL
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2080 Woodwinds Dr, #240, Woodbury, MN 55125
Phone: 651-702-0750    
Michelle M Mercado,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 8320 City Centre Dr, Suite G, Woodbury, MN 55125
Phone: 651-738-9888    Fax: 651-738-9889
Katherine Turner,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7012 Lake Rd, Woodbury, MN 55125
Phone: 612-877-1736    
Hannah A Hillstrom, MA OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2101 Wooddale Dr Ste A, Woodbury, MN 55125
Phone: 651-738-9888    
Veronica Arens, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Wooddale Dr Ste A, Woodbury, MN 55125
Phone: 651-738-9888    Fax: 651-738-9889

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