Staci Tibbs Wilson, OTR, MOT, CHES in Pearland, TX - Medicare Occupational Therapist Provider

Staci Tibbs Wilson, OTR, MOT, CHES is a medicare enrolled "Occupational Therapist - Low Vision" provider in Pearland, Texas. Her current practice location is 13212 Lone Creek Ln, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 280-3663.

Staci Tibbs Wilson is licensed to practice in Texas (license number 112297) 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 1598163511.

Contact Information

	Staci Tibbs Wilson, OTR, MOT, CHES
	13212 Lone Creek Ln, Pearland, TX 77584-3476
	(713) 280-3663
	(855) 710-7269

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Tibbs Wilson
Gender	Female
Speciality	Occupational Therapist - Low Vision
Location	13212 Lone Creek Ln, Pearland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598163511
Provider Enumeration Date: 12/08/2014
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 7911263843
Enrollment ID: I20171109002436

Medical Identifiers

Medical identifiers for Staci Tibbs Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598163511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	(* (Not Available))	Secondary
225XN1300X	Occupational Therapist - Neurorehabilitation	(* (Not Available))	Secondary
225XL0004X	Occupational Therapist - Low Vision	112297 (Texas)	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. Staci Tibbs Wilson allows following entities to bill medicare on her behalf.

Provider Name	The Rehab Firm, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225569239 PECOS PAC ID: 9234495169 Enrollment ID: O20171109002057

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. Staci Tibbs Wilson 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
Staci Tibbs Wilson, OTR, MOT, CHES 11601 Shadow Creek Pkwy Ste 111-216, Pearland, TX 77584-7283 Ph: (713) 280-3663	Staci Tibbs Wilson, OTR, MOT, CHES 13212 Lone Creek Ln, Pearland, TX 77584-3476 Ph: (713) 280-3663

Reviews and Comments

Occupational Therapist in Pearland, TX

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Gina Petry, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Creek Shore Ln, Pearland, TX 77581 Phone: 832-628-1955
Kelsey Marie Orsak, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway St Ste 312, Pearland, TX 77584 Phone: 832-856-6241
Lance Montgomery, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Broadway St Ste 130, Pearland, TX 77581 Phone: 281-997-8509 Fax: 888-449-0039

Staci Tibbs Wilson, OTR, MOT, CHES - Medicare Occupational Therapist in Pearland, TX