Mrs Stacy Nichole Tri, MS, OTR/L in Woodbury, MN - Medicare Occupational Therapist Provider

Mrs Stacy Nichole Tri, MS, OTR/L is a medicare enrolled "Occupational Therapist" provider in Woodbury, Minnesota. Her current practice location is 2101 Wooddale Dr Ste A, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 738-9888.

Mrs Stacy Nichole Tri is licensed to practice in Minnesota (license number 102369) 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 1578898300.

Contact Information

	Mrs Stacy Nichole Tri, MS, OTR/L
	2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933
	(651) 738-9888
	(651) 738-9889

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Nichole Tri
Gender	Female
Speciality	Occupational Therapist
Location	2101 Wooddale Dr Ste A, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578898300
Provider Enumeration Date: 10/13/2009
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 5991033904
Enrollment ID: I20190828001523

Medical Identifiers

Medical identifiers for Mrs Stacy Nichole Tri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578898300	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	102369 (Minnesota)	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. Mrs Stacy Nichole Tri allows following entities to bill medicare on her behalf.

Provider Name	Family Achievement Center Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720

Provider Name	Functional Integrated Therapy, Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477640613 PECOS PAC ID: 9234189879 Enrollment ID: O20050131001036

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. Mrs Stacy Nichole Tri 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
Mrs Stacy Nichole Tri, MS, OTR/L 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 Ph: (651) 738-9888	Mrs Stacy Nichole Tri, MS, OTR/L 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 Ph: (651) 738-9888

Reviews and Comments

Occupational Therapist in Woodbury, MN

Heather Foerster-bach, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10459 Raleigh Rd, Woodbury, MN 55129 Phone: 928-607-4233
Colleen Rubin, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2101 Wooddale Dr, Suite A., Woodbury, MN 55125 Phone: 651-738-9888 Fax: 651-738-9889
Patricia Ann Carroll, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2080 Woodwinds Dr, #240, Woodbury, MN 55125 Phone: 651-702-0750
Michelle M Mercado, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8320 City Centre Dr, Suite G, Woodbury, MN 55125 Phone: 651-738-9888 Fax: 651-738-9889
Katherine Turner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7012 Lake Rd, Woodbury, MN 55125 Phone: 612-877-1736
Hannah A Hillstrom, MA OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2101 Wooddale Dr Ste A, Woodbury, MN 55125 Phone: 651-738-9888
Veronica Arens, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 Wooddale Dr Ste A, Woodbury, MN 55125 Phone: 651-738-9888 Fax: 651-738-9889

Mrs Stacy Nichole Tri, MS, OTR/L - Medicare Occupational Therapist in Woodbury, MN