Shelby Ann Cornell, OTR is a medicare enrolled "Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine" provider in Deerfield Beach, Florida. Her current practice location is
336 S Powerline Rd, Deerfield Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(845) 264-2072.
Shelby Ann Cornell is licensed to practice in Florida (license number OT24550) 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 1629714753.
Healthcare Provider's Profile
| Full Name | Shelby Ann Cornell |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine |
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| Location | 336 S Powerline Rd, Deerfield Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629714753
- Provider Enumeration Date: 05/11/2022
- Last Update Date: 01/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648620443
- Enrollment ID: I20231219004227
Medical Identifiers
Medical identifiers for Shelby Ann Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629714753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0200X | Occupational Therapist - Pediatrics | 026675 (New York) | Secondary |
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | OT24550 (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. Shelby Ann Cornell allows following entities to bill medicare on her behalf.
| Provider Name | Florida Movement Therapy Center-boynton Beach Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1013105196
PECOS PAC ID: 1759464837
Enrollment ID: O20080213000029 |
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| Provider Name | Florida Movement Therapy Center-boca Raton, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1407118268
PECOS PAC ID: 6507014768
Enrollment ID: O20120912000560 |
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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. Shelby Ann Cornell 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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Shelby Ann Cornell, OTR
305 W Coral Trace Cir,
Delray Beach, FL 33445-3603
Ph: (845) 264-2072 | Shelby Ann Cornell, OTR
336 S Powerline Rd,
Deerfield Beach, FL 33442-8105
Ph: (845) 264-2072 |
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