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

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

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacie Selfridge
Gender	Female
Speciality	Occupational Therapist
Location	30 Northampton Street, Boston, Massachusetts
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1023438801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational 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 Name	Bostons Community Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235174418 PECOS PAC ID: 1355390691 Enrollment ID: O20050113000756

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 Address	Practice 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

Reviews and Comments

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

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