Andrew E Gottheardt, OTR/L, CHT in Kenosha, WI - Medicare Occupational Therapist Provider

Andrew E Gottheardt, OTR/L, CHT is a medicare enrolled "Occupational Therapist" provider in Kenosha, Wisconsin. His current practice location is 10320 75th St Ste D, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (800) 974-4378.

Andrew E Gottheardt is licensed to practice in Wisconsin (license number 4342-26) 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 1245458918.

Contact Information

	Andrew E Gottheardt, OTR/L, CHT
	10320 75th St Ste D, Kenosha, WI 53142-7525
	(800) 974-4378
	(630) 515-1536

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew E Gottheardt
Gender	Male
Speciality	Occupational Therapist
Location	10320 75th St Ste D, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245458918
Provider Enumeration Date: 04/20/2007
Last Update Date: 09/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8729187950
Enrollment ID: I20070628000226

Medical Identifiers

Medical identifiers for Andrew E Gottheardt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245458918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4342-26 (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. Andrew E Gottheardt allows following entities to bill medicare on his behalf.

Provider Name	Athletic & Therapeutic Institute Of Milwaukee, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801907464 PECOS PAC ID: 2062469190 Enrollment ID: O20140616000469

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. Andrew E Gottheardt 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
Andrew E Gottheardt, OTR/L, CHT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (009) 744-3788	Andrew E Gottheardt, OTR/L, CHT 10320 75th St Ste D, Kenosha, WI 53142-7525 Ph: (800) 974-4378

Reviews and Comments

Occupational Therapist in Kenosha, WI

Richa Kamble, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5060 Green Bay Rd, Kenosha, WI 53144 Phone: 262-825-0912
Lacy Nowicki, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10222 74th St Ste 211, Kenosha, WI 53142 Phone: 262-925-5020
Ana Jones, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1406 91st St Apt 103, Kenosha, WI 53143 Phone: 262-331-3414
Ms. Jane E Meyers, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-652-1111 Fax: 262-652-1124
Rachel Lauren Cole, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Washington Rd, Kenosha, WI 53144 Phone: 248-930-4737
Mrs. Silvana K Leone, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3299
Ellen Fey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7610 Pershing Blvd, Kenosha, WI 53142 Phone: 262-948-3600

Andrew E Gottheardt, OTR/L, CHT - Medicare Occupational Therapist in Kenosha, WI