Shelley Ullom, in Indianapolis, IN - Medicare Occupational Therapy Provider

Shelley Ullom, is a medicare enrolled "Occupational Therapist" provider in Indianapolis, Indiana. She went to Ohio State University - College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Clarkson Optometry Midwest Inc and her current practice location is 4740 Kingsway Dr, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 466-1000.

Shelley Ullom is licensed to practice in Indiana (license number 31004195A) 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 1619094737.

Contact Information

	Shelley Ullom,
	4740 Kingsway Dr, Indianapolis, IN 46205-1521
	(317) 466-1000
	(317) 466-2000

Map and Direction

Healthcare Provider's Profile

Full Name	Shelley Ullom
Gender	Female
Speciality	Occupational Therapy
Experience	20 Years
Location	4740 Kingsway Dr, Indianapolis, Indiana
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:

Shelley Ullom attended and graduated from Ohio State University - College Of Optometry in 2004

NPI Data:

NPI Number: 1619094737
Provider Enumeration Date: 03/23/2007
Last Update Date: 12/30/2019

Medicare PECOS Information:

PECOS PAC ID: 8628316312
Enrollment ID: I20190204002824

Medical Identifiers

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

Identifier	Type	State	Issuer
1619094737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31004195A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clarkson Optometry Midwest Inc	0749504165	79

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 Ullom allows following entities to bill medicare on her behalf.

Provider Name	Clarkson Optometry Midwest Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20150113001118

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 Ullom 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 Ullom, 5741 Indianola Ave, Indianapolis, IN 46220-2772 Ph: (317) 466-1000	Shelley Ullom, 4740 Kingsway Dr, Indianapolis, IN 46205-1521 Ph: (317) 466-1000

Reviews and Comments

Occupational Therapist in Indianapolis, IN

Playtime Therapy Solutions Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8812 Stonewall Dr, Indianapolis, IN 46231 Phone: 317-441-7286 Fax: 317-243-8499
Julia Marie Murray, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6437 Rucker Rd, Suite D, Indianapolis, IN 46220 Phone: 317-405-4016 Fax: 888-654-4116
Elise Hardy, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10388 Splendor Way, Indianapolis, IN 46234 Phone: 574-721-6411
Leann Vandeman, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2333 Post Dr, Indianapolis, IN 46219 Phone: 317-890-7700 Fax: 317-890-4400
Marisa Kitt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6825 Madison Ave Ste A, Indianapolis, IN 46227 Phone: 317-851-8419 Fax: 317-851-8499
Johnna Belkiewitz, OTD, MAT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4740 Kingsway Dr, Indianapolis, IN 46205 Phone: 317-466-1000
Barbara Liesbeth Cook, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8501 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-875-9105 Fax: 317-875-8638

Shelley Ullom, - Medicare Occupational Therapist in Indianapolis, IN