Carlie Shields, - Medicare Occupational Therapist in Brandon, MS

Carlie Shields, is a medicare enrolled "Occupational Therapist" provider in Brandon, Mississippi. Her current practice location is 355 Crossgates Blvd, Brandon, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 825-3192.

Carlie Shields is licensed to practice in Mississippi (license number OT3072) 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 1689046872.

Contact Information

Carlie Shields,
355 Crossgates Blvd,
Brandon, MS 39042-2602
(601) 825-3192
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCarlie Shields
GenderFemale
SpecialityOccupational Therapist
Location355 Crossgates Blvd, Brandon, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689046872
  • Provider Enumeration Date: 10/27/2015
  • Last Update Date: 11/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921431347
  • Enrollment ID: I20191125002430

Medical Identifiers

Medical identifiers for Carlie Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689046872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT3072 (Mississippi)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. Carlie Shields allows following entities to bill medicare on her behalf.
Provider NamePerformance Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851427132
PECOS PAC ID: 7012971047
Enrollment ID: O20041118000549
Provider NameDrayer Physical Therapy Mississippi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952732448
PECOS PAC ID: 3274834858
Enrollment ID: O20160314001040

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. Carlie Shields 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 AddressPractice Location Address
Carlie Shields,
Po Box 428,
Orchard Park, NY 14127-0428

Ph: (716) 662-4955
Carlie Shields,
355 Crossgates Blvd,
Brandon, MS 39042-2602

Ph: (601) 825-3192

Reviews and Comments


Occupational Therapist in Brandon, MS

Thomas Haven Gazaway, OT
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Tameika M Smith, THERAPIST
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Phone: 601-825-3192    
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Practice Location: 906 Tetbury Pl, Brandon, MS 39047
Phone: 662-820-8732    Fax: 601-202-9606

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.