Shelley Smith Tickett, - Medicare Pediatrics in Brandon, FL

Shelley Smith Tickett, is a medicare enrolled "Pediatrics" physician in Brandon, Florida. Her current practice location is 901 E Bloomingdale Ave Ste 501, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 699-3995.

Shelley Smith Tickett is licensed to practice in Florida (license number ME90313) 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 1023064292.

Contact Information

Shelley Smith Tickett,
901 E Bloomingdale Ave Ste 501,
Brandon, FL 33511-8118
(813) 699-3995
Not Available

Map and Direction




Physician's Profile

Full NameShelley Smith Tickett
GenderFemale
SpecialityPediatrics
Location901 E Bloomingdale Ave Ste 501, Brandon, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023064292
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 07/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274508189
  • Enrollment ID: I20040901001175

Medical Identifiers

Medical identifiers for Shelley Smith Tickett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023064292NPI-NPPES
269812900MedicaidFL
44141OtherFLBCBS OF FLORIDA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME90313 (Florida)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. Shelley Smith Tickett allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686675
PECOS PAC ID: 7911811435
Enrollment ID: O20040407000673

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. Shelley Smith Tickett 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
Shelley Smith Tickett,
14902 Heronglen Dr,
Lithia, FL 33547-5887

Ph: (813) 317-1591
Shelley Smith Tickett,
901 E Bloomingdale Ave Ste 501,
Brandon, FL 33511-8118

Ph: (813) 699-3995

Reviews and Comments


Pediatrics Doctors in Brandon, FL

Dr. Monica Shah, DO
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Practice Location: 811 S Parsons Ave, Brandon, FL 33511
Phone: 813-685-4553    Fax: 813-681-1191
Noelle Vallimont, PA-C
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Practice Location: 681 W Lumsden Rd, Brandon, FL 33511
Phone: 813-655-7726    
Robert Neil Pelaez, MD
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Medicare: Medicare Enrolled
Practice Location: 901 E Bloomingdale Ave Ste 501, Brandon, FL 33511
Phone: 813-699-3995    
Anna Maria Myers, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 811 S Parsons Ave, Brandon, FL 33511
Phone: 813-685-4553    Fax: 813-681-1191
Dr. Alicia Medrano Ong, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1037 Professional Park Dr, Brandon, FL 33511
Phone: 813-684-5659    Fax: 813-685-2640
Shivinder Narwal, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 205 S Moon Ave Ste 103, Brandon, FL 33511
Phone: 813-324-2613    Fax: 813-324-2614

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.