Shelley Etke Tidd, MS, OTR/L in Boulder, CO - Medicare Occupational Therapist Provider

Shelley Etke Tidd, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Boulder, Colorado. Her current practice location is 2065 Hillsdale Cir, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 543-9232.

Shelley Etke Tidd is licensed to practice in * (Not Available) (license number 1007123) 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 1326274317.

Contact Information

	Shelley Etke Tidd, MS, OTR/L
	2065 Hillsdale Cir, Boulder, CO 80305-5617
	(303) 543-9232
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelley Etke Tidd
Gender	Female
Speciality	Occupational Therapist
Location	2065 Hillsdale Cir, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326274317
Provider Enumeration Date: 06/03/2009
Last Update Date: 09/18/2009

Medicare PECOS Information:

PECOS PAC ID: 0143622183
Enrollment ID: I20210713001934

Medical Identifiers

Medical identifiers for Shelley Etke Tidd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326274317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	1007123 (* (Not Available))	Secondary
225X00000X	Occupational Therapist	1007123 (* (Not Available))	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 Etke Tidd allows following entities to bill medicare on her behalf.

Provider Name	Covell Care And Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063695351 PECOS PAC ID: 9335223429 Enrollment ID: O20080228000078

Provider Name	Kind Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1477016350 PECOS PAC ID: 9739421967 Enrollment ID: O20190508001561

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 Etke Tidd 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
Shelley Etke Tidd, MS, OTR/L 2065 Hillsdale Cir, Boulder, CO 80305-5617 Ph: (303) 543-9232	Shelley Etke Tidd, MS, OTR/L 2065 Hillsdale Cir, Boulder, CO 80305-5617 Ph: (303) 543-9232

Reviews and Comments

Occupational Therapist in Boulder, CO

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Jakki Ruzich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3850 Paseo Del Prado St Apt 36, Boulder, CO 80301 Phone: 702-612-7533
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Shelley Etke Tidd, MS, OTR/L - Medicare Occupational Therapist in Boulder, CO