Alyssa Churchill Engle, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Ellsworth, Wisconsin. Her current practice location is
412 W Kinne Street, Ellsworth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 273-6759.
Alyssa Churchill Engle is licensed to practice in Wisconsin (license number 14688) 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 1326682691.
Healthcare Provider's Profile
Full Name | Alyssa Churchill Engle |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 412 W Kinne Street, Ellsworth, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326682691
- Provider Enumeration Date: 10/30/2019
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709218514
- Enrollment ID: I20191118000373
Medical Identifiers
Medical identifiers for Alyssa Churchill Engle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326682691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 14688 (Wisconsin) | Primary |
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. Alyssa Churchill Engle 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 |
Alyssa Churchill Engle, OTD, OTR/L 412 W Kinne Street Suite 171, Ellsworth, WI 54011 Ph: (715) 273-6759 | Alyssa Churchill Engle, OTD, OTR/L 412 W Kinne Street, Ellsworth, WI 54011 Ph: (715) 273-6759 |
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