Shelley Smith Tickett, in Lake Wales, FL

Shelley Smith Tickett, is a medicare enrolled "Pediatrics" physician in Lake Wales, Florida. Her current practice location is 305 W Central Ave, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at (866) 234-8534.

Shelley Smith Tickett is licensed to practice in Florida (license number ME90313) 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 1023064292.

Contact Information

	Shelley Smith Tickett,
	305 W Central Ave, Lake Wales, FL 33853-4015
	(866) 234-8534
	(863) 855-9737

Map and Direction

Physician's Profile

Full Name	Shelley Smith Tickett
Gender	Female
Speciality	Pediatrics
Location	305 W Central Ave, Lake Wales, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023064292
Provider Enumeration Date: 05/26/2006
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3274508189
Enrollment ID: I20040901001175

Medical Identifiers

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

Identifier	Type	State	Issuer
1023064292	NPI	-	NPPES
269812900	Medicaid	FL
44141	Other	FL	BCBS OF FLORIDA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME90313 (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. Shelley Smith Tickett allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673

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 Smith Tickett 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 Smith Tickett, 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534	Shelley Smith Tickett, 305 W Central Ave, Lake Wales, FL 33853-4015 Ph: (866) 234-8534

Reviews and Comments

Pediatrics Doctors in Lake Wales, FL

Heather Wardy, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534
Dr. Jagdeep Singh Pruthi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25103 Hwy 27, Lake Wales, FL 33859 Phone: 863-734-0344
Maria Claudia Solorzano, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1110 Druid Cir Ste A, Lake Wales, FL 33853 Phone: 863-676-8935 Fax: 863-679-2691
Dr. Lee Wichner Edelstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534
Marcela Jativa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1356 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8888
Dr. Rajeswari S Sonni, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1354 State Road 60 E, Lake Wales, FL 33853 Phone: 863-382-0566 Fax: 863-471-9340

Shelley Smith Tickett, - Medicare Pediatrics in Lake Wales, FL