Dr Shelley Thiel, MD is a medicare enrolled "Otolaryngology" physician in Highland, California. She went to Loma Linda University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Beaver Medical Group Pc and her current practice location is
7000 Boulder Ave, Highland, California. You can reach out to her office (for appointments etc.) via phone at
(909) 862-1191.
Dr Shelley Thiel is licensed to practice in Washington (license number MD00021929) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386682896.
Physician's Profile
| Full Name | Dr Shelley Thiel |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 43 Years |
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| Location | 7000 Boulder Ave, Highland, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shelley Thiel attended and graduated from Loma Linda University School Of Medicine in 1981
NPI Data:
- NPI Number: 1386682896
- Provider Enumeration Date: 06/04/2006
- Last Update Date: 02/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810992112
- Enrollment ID: I20170110001901
Medical Identifiers
Medical identifiers for Dr Shelley Thiel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386682896 | NPI | - | NPPES |
| 96614 | Other | | L&I |
| 1018571 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | MD00021929 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Beaver Medical Group Pc | 0547164295 | 259 |
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. Dr Shelley Thiel allows following entities to bill medicare on her behalf.
| Entity Name | Beaver Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649503319
PECOS PAC ID: 0547164295
Enrollment ID: O20031124000449 |
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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. Dr Shelley Thiel 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 Address | Practice Location Address |
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Dr Shelley Thiel, MD
Po Box 10069,
San Bernardino, CA 92423-0069
Ph: (909) 335-4188 | Dr Shelley Thiel, MD
7000 Boulder Ave,
Highland, CA 92346-3348
Ph: (909) 862-1191 |
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