Shelly Rae Tibke, CNP in Sioux Falls, SD - Medicare Nurse Practitioner

Shelly Rae Tibke, CNP is a medicare enrolled "Nurse Practitioner - Family" in Sioux Falls, South Dakota. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Surgical Institute Of South Dakota Pc and her current practice location is 911 E 20th St, Ste 700, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 334-0393.

Shelly Rae Tibke is licensed to practice in South Dakota (license number CP001053) 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 1487008686.

Contact Information

	Shelly Rae Tibke, CNP
	911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049
	(605) 334-0393
	(605) 334-0393

Map and Direction

Provider's Profile

Full Name	Shelly Rae Tibke
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	911 E 20th St, Sioux Falls, South Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelly Rae Tibke graduated from nursing school in 2015

NPI Data:

NPI Number: 1487008686
Provider Enumeration Date: 04/14/2016
Last Update Date: 06/06/2016

Medicare PECOS Information:

PECOS PAC ID: 4789973264
Enrollment ID: I20160523002549

Medical Identifiers

Medical identifiers for Shelly Rae Tibke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487008686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R020920 (South Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	CP001053 (South Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Avera Mckennan Hospital & University Health Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgical Institute Of South Dakota Pc	7911896253	20

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. Shelly Rae Tibke allows following entities to bill medicare on her behalf.

Entity Name	Surgical Institute Of South Dakota Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760569248 PECOS PAC ID: 7911896253 Enrollment ID: O20040330000722

Entity Name	Avera Gettysburg
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1003887266 PECOS PAC ID: 4284619362 Enrollment ID: O20061104000319

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. Shelly Rae Tibke 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
Shelly Rae Tibke, CNP 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049 Ph: (605) 334-0393	Shelly Rae Tibke, CNP 911 E 20th St, Ste 700, Sioux Falls, SD 57105-1049 Ph: (605) 334-0393

Reviews and Comments

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Mrs. Donna Lynn Sebesta, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Grandview Ave, Sioux Falls, SD 57103 Phone: 605-371-3436

Shelly Rae Tibke, CNP - Medicare Nurse Practitioner in Sioux Falls, SD