Ally Victoria Kellerman, OT in Greenfield, WI - Medicare Occupational Therapist Provider

Ally Victoria Kellerman, OT is a medicare enrolled "Occupational Therapist" provider in Greenfield, Wisconsin. Her current practice location is 9000 W Sura Ln, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 246-6500.

Ally Victoria Kellerman is licensed to practice in Wisconsin (license number 8220) 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 1558060285.

Contact Information

	Ally Victoria Kellerman, OT
	9000 W Sura Ln, Greenfield, WI 53228-3477
	(414) 246-6500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ally Victoria Kellerman
Gender	Female
Speciality	Occupational Therapist
Location	9000 W Sura Ln, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558060285
Provider Enumeration Date: 03/02/2023
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7719351535
Enrollment ID: I20230317002268

Medical Identifiers

Medical identifiers for Ally Victoria Kellerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558060285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	8220 (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. Ally Victoria Kellerman allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Provider Name	Lakeshore Medical Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Provider Name	Aurora Advanced Healthcare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Ally Victoria Kellerman 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
Ally Victoria Kellerman, OT Po Box 735044, Chicago, IL 60673-5044 Ph: () -	Ally Victoria Kellerman, OT 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6500

Reviews and Comments

Occupational Therapist in Greenfield, WI

Mrs. Rhonda L. Shubert, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 West Cold Spring Road, Greenfield Rehabilitation Agency, Greenfield, WI 53220 Phone: 414-327-6603 Fax: 414-327-5411
Stephaney Anne Bublitz, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Mrs. Jennifer C Willms, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4144 S 99th St, Greenfield, WI 53228 Phone: 414-328-4575
Catherine Gruen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 W Coldspring Rd, Greenfield, WI 53220 Phone: 414-327-6603
Rebecca Mueller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 W Coldspring Rd, Greenfield, WI 53220 Phone: 414-327-6603 Fax: 414-327-5411
Mrs. Laura Christine Socha, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Jesse Kailyn Haefner, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800

Ally Victoria Kellerman, OT - Medicare Occupational Therapist in Greenfield, WI