Courtney C Crouse, OTR in De Pere, WI - Medicare Occupational Therapist Provider

Courtney C Crouse, OTR is a medicare enrolled "Occupational Therapist" provider in De Pere, Wisconsin. Her current practice location is 1601 Lawrence Dr Ste 100, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Courtney C Crouse is licensed to practice in Wisconsin (license number 5633-26) 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 1992199137.

Contact Information

	Courtney C Crouse, OTR
	1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931
	(920) 496-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney C Crouse
Gender	Female
Speciality	Occupational Therapist
Location	1601 Lawrence Dr Ste 100, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992199137
Provider Enumeration Date: 03/25/2015
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9830418375
Enrollment ID: I20240430002026

Medical Identifiers

Medical identifiers for Courtney C Crouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992199137	NPI	-	NPPES
100043684	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	118462 (Texas)	Secondary
225X00000X	Occupational Therapist	5633-26 (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. Courtney C Crouse allows following entities to bill medicare on her behalf.

Provider Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Provider Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Courtney C Crouse 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
Courtney C Crouse, OTR Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Courtney C Crouse, OTR 1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931 Ph: (920) 496-4700

Reviews and Comments

Occupational Therapist in De Pere, WI

Kathleen Phelps, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1142 Orlando Dr, De Pere, WI 54115 Phone: 920-339-0700 Fax: 920-330-0278
Molly Kafka, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1142 Orlando Dr, De Pere, WI 54115 Phone: 920-339-0700
Maggie M Larson, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1601 Lawrence Dr Ste 100, De Pere, WI 54115 Phone: 920-496-4700
Mrs. Melanie Sue Gonnering, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-338-4146
Carol Klak, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1142 Orlando Dr, De Pere, WI 54115 Phone: 920-339-0700 Fax: 920-330-0278
Alexandria Horn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-336-5680
Ellen Katherine Lemay, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S 9th St, De Pere, WI 54115 Phone: 920-338-4145

Courtney C Crouse, OTR - Medicare Occupational Therapist in De Pere, WI