Shenicki Coleman Moore, in Beaumont, TX - Medicare Occupational Therapist Provider

Shenicki Coleman Moore, is a medicare enrolled "Occupational Therapist - Gerontology" provider in Beaumont, Texas. Her current practice location is 3540 Valmont Ave, Beaumont, Texas. You can reach out to her office (for appointments etc.) via phone at (601) 665-8117.

Shenicki Coleman Moore is licensed to practice in * (Not Available) (license number ) 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 1336629708.

Contact Information

	Shenicki Coleman Moore,
	3540 Valmont Ave, Beaumont, TX 77706-6730
	(601) 665-8117
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shenicki Coleman Moore
Gender	Female
Speciality	Occupational Therapist - Gerontology
Location	3540 Valmont Ave, Beaumont, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336629708
Provider Enumeration Date: 08/15/2018
Last Update Date: 08/15/2018

Medicare PECOS Information:

PECOS PAC ID: 3577009927
Enrollment ID: I20240723000345

Medical Identifiers

Medical identifiers for Shenicki Coleman Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336629708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	(Texas)	Secondary
225XP0019X	Occupational Therapist - Physical Rehabilitation	(* (Not Available))	Secondary
225XG0600X	Occupational Therapist - Gerontology	(* (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. Shenicki Coleman Moore allows following entities to bill medicare on her behalf.

Provider Name	Slptele Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497393557 PECOS PAC ID: 5395163174 Enrollment ID: O20201020000610

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. Shenicki Coleman Moore 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
Shenicki Coleman Moore, 3540 Valmont Ave, Beaumont, TX 77706-6730 Ph: (601) 665-8117	Shenicki Coleman Moore, 3540 Valmont Ave, Beaumont, TX 77706-6730 Ph: (601) 665-8117

Reviews and Comments

Occupational Therapist in Beaumont, TX

Wanda G Taylor, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N Ste 225, Beaumont, TX 77707 Phone: 409-835-0228 Fax: 409-835-0151
Ms. Jessica Fitzgerald, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 855 S 8th St, Beaumont, TX 77701 Phone: 409-838-6568
Rachael K Meguess, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Dowlen Rd, Beaumont, TX 77706 Phone: 409-860-9203 Fax: 409-860-9203
Katherine Ann Dos Santos, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 S 23rd St, Beaumont, TX 77707 Phone: 409-842-9700
Mr. Francisco Tays Jr., OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St Ste 311, Beaumont, TX 77706 Phone: 409-299-4638 Fax: 409-299-4640
Mrs. Mary Elizabeth Franklin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 S 23rd St, Beaumont, TX 77707 Phone: 409-842-9700 Fax: 409-842-1829
Monique Estelle De Pau, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N, 225, Beaumont, TX 77707 Phone: 409-835-0228 Fax: 409-835-0151

Shenicki Coleman Moore, - Medicare Occupational Therapist in Beaumont, TX