Carissa Mae Thelen, OTRL in Traverse City, MI - Medicare Occupational Therapist Provider

Carissa Mae Thelen, OTRL is a medicare enrolled "Occupational Therapist" provider in Traverse City, Michigan. Her current practice location is 701 W Front St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-0800.

Carissa Mae Thelen is licensed to practice in Michigan (license number 5201013761) 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 1689258139.

Contact Information

	Carissa Mae Thelen, OTRL
	701 W Front St, Traverse City, MI 49684-2287
	(231) 935-0800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carissa Mae Thelen
Gender	Female
Speciality	Occupational Therapist
Location	701 W Front St, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689258139
Provider Enumeration Date: 05/11/2021
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7810339058
Enrollment ID: I20240520003419

Medical Identifiers

Medical identifiers for Carissa Mae Thelen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689258139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201013761 (Michigan)	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. Carissa Mae Thelen allows following entities to bill medicare on her behalf.

Provider Name	Hand Surgery Of Northern Michigan Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497778765 PECOS PAC ID: 4183639859 Enrollment ID: O20060216000317

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. Carissa Mae Thelen 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
Carissa Mae Thelen, OTRL 10670 E Pico Dr, Traverse City, MI 49684-5382 Ph: (906) 241-3521	Carissa Mae Thelen, OTRL 701 W Front St, Traverse City, MI 49684-2287 Ph: (231) 935-0800

Reviews and Comments

Occupational Therapist in Traverse City, MI

Kristine A Siemer, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-8600
Susan Milliman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St Ste 11, Traverse City, MI 49686 Phone: 231-941-3100 Fax: 231-922-0382
Hannah Schweikart, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000
Stacey Karpouzes Mower, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St Ste 10, Traverse City, MI 49686 Phone: 231-941-8100
Ms. Michelle Sturdevant, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2950 Lafranier Rd, Traverse City, MI 49686 Phone: 231-947-0506
Samuel Olsen Olsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1810 Chartwell Dr, Traverse City, MI 49696 Phone: 231-929-2354
Barbara Jeanne Martin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Barlow St, Traverse City, MI 49686 Phone: 231-941-4100 Fax: 231-922-0382

Carissa Mae Thelen, OTRL - Medicare Occupational Therapist in Traverse City, MI