Dr Jared Hutterer, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lake Mills, Wisconsin. His current practice location is
805 Elm St, Lake Mills, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 648-2400.
Dr Jared Hutterer is licensed to practice in Wisconsin (license number 14609-24) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083275168.
Physician's Profile
| Full Name | Dr Jared Hutterer |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 805 Elm St, Lake Mills, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083275168
- Provider Enumeration Date: 06/27/2019
- Last Update Date: 06/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880929546
- Enrollment ID: I20190717002620
Medical Identifiers
Medical identifiers for Dr Jared Hutterer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083275168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 14609-24 (Wisconsin) | 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 Jared Hutterer allows following entities to bill medicare on his behalf.
| Entity Name | Optimal Physical Therapy Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1508887464
PECOS PAC ID: 6608894290
Enrollment ID: O20051102000553 |
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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 Jared Hutterer 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 |
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Dr Jared Hutterer, PT, DPT
5115 Autumn Leaf Ln Apt 175,
Madison, WI 53704-8647
Ph: (920) 629-8891 | Dr Jared Hutterer, PT, DPT
805 Elm St,
Lake Mills, WI 53551-1127
Ph: (920) 648-2400 |
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