Andrea Kvistad, OTR in Beaver Dam, WI - Medicare Occupational Therapist Provider

Andrea Kvistad, OTR is a medicare enrolled "Occupational Therapist" provider in Beaver Dam, Wisconsin. Her current practice location is 707 S University Ave, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-4039.

Andrea Kvistad is licensed to practice in Wisconsin (license number 5382-26) 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 1518364496.

Contact Information

	Andrea Kvistad, OTR
	707 S University Ave, Beaver Dam, WI 53916-3027
	(920) 887-4039
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Kvistad
Gender	Female
Speciality	Occupational Therapist
Location	707 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518364496
Provider Enumeration Date: 11/20/2014
Last Update Date: 05/13/2016

Medicare PECOS Information:

PECOS PAC ID: 3072991751
Enrollment ID: I20220608002671

Medical Identifiers

Medical identifiers for Andrea Kvistad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518364496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5382-26 (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. Andrea Kvistad allows following entities to bill medicare on her behalf.

Provider Name	Beaver Dam Community Hospitals Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666

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. Andrea Kvistad 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
Andrea Kvistad, OTR 1081 Jerico Ln, Sun Prairie, WI 53590-1044 Ph: () -	Andrea Kvistad, OTR 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (920) 887-4039

Reviews and Comments

Occupational Therapist in Beaver Dam, WI

Ms. Brenda W Dykstra, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Roedl Ct, Beaver Dam, WI 53916 Phone: 920-887-7191 Fax: 920-887-7270
Jessica A Barczak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750
Mrs. Martha Helen Lewke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-4039 Fax: 920-887-5970
Ashley L Crull, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 Fax: 920-885-3839
Olivia T Dziedzic, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181
Kristina Marie Schmeling, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6682

Andrea Kvistad, OTR - Medicare Occupational Therapist in Beaver Dam, WI