Dr Tiffany Kiondra Shelton, PHD is a medicare enrolled "Psychologist - Clinical" provider in Wheat Ridge, Colorado. Her current practice location is
4851 Independence St, Wheat Ridge, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 425-0300.
Dr Tiffany Kiondra Shelton is licensed to practice in Colorado (license number PSY.0005662) 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 1790049443.
Healthcare Provider's Profile
Full Name | Dr Tiffany Kiondra Shelton |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 4851 Independence St, Wheat Ridge, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790049443
- Provider Enumeration Date: 06/27/2012
- Last Update Date: 04/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163894569
- Enrollment ID: I20230213001614
Medical Identifiers
Medical identifiers for Dr Tiffany Kiondra Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790049443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | IMF81266 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY.0005662 (Colorado) | 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. Dr Tiffany Kiondra Shelton allows following entities to bill medicare on her behalf.
Entity Name | Jefferson Center For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154403798 PECOS PAC ID: 9032018882 Enrollment ID: O20031231000357 |
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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. Dr Tiffany Kiondra Shelton 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 |
Dr Tiffany Kiondra Shelton, PHD 4851 Independence St, Wheat Ridge, CO 80033-6715 Ph: (303) 425-0300 | Dr Tiffany Kiondra Shelton, PHD 4851 Independence St, Wheat Ridge, CO 80033-6715 Ph: (303) 425-0300 |
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