Marissa Anderson, DPT, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lake Mills, Wisconsin. Her current practice location is
805 Elm St, Lake Mills, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 941-0464.
Marissa Anderson is licensed to practice in Wisconsin (license number 16804-24) 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 1033950894.
Physician's Profile
| Full Name | Marissa Anderson |
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| Gender | Female |
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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: 1033950894
- Provider Enumeration Date: 06/05/2024
- Last Update Date: 06/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709321037
- Enrollment ID: I20240711001184
Medical Identifiers
Medical identifiers for Marissa Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033950894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 16804-24 (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. Marissa Anderson allows following entities to bill medicare on her 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. Marissa Anderson 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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Marissa Anderson, DPT, PT
805 Elm St,
Lake Mills, WI 53551-1127
Ph: (920) 941-0464 | Marissa Anderson, DPT, PT
805 Elm St,
Lake Mills, WI 53551-1127
Ph: (920) 941-0464 |
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