Kaitlin Kersten, OTD, EMT-P is a medicare enrolled "Occupational Therapist" provider in Fennimore, Wisconsin. Her current practice location is
615 Roosevelt St, Fennimore, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(563) 583-4003.
Kaitlin Kersten is licensed to practice in * (Not Available) (license number ) 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 1538720594.
Healthcare Provider's Profile
Full Name | Kaitlin Kersten |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 615 Roosevelt St, Fennimore, 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: 1538720594
- Provider Enumeration Date: 06/21/2019
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507234937
- Enrollment ID: I20221116001449
Medical Identifiers
Medical identifiers for Kaitlin Kersten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538720594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | 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. Kaitlin Kersten allows following entities to bill medicare on her behalf.
Provider Name | Blue Stone Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20210301002214 |
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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. Kaitlin Kersten 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 |
Kaitlin Kersten, OTD, EMT-P 595 English Ln, Dubuque, IA 52003-8755 Ph: (815) 291-8404 | Kaitlin Kersten, OTD, EMT-P 615 Roosevelt St, Fennimore, WI 53809-1130 Ph: (563) 583-4003 |
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