Kelly Marie Widule, OTR/L in Hudson, WI - Medicare Occupational Therapist Provider

Kelly Marie Widule, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hudson, Wisconsin. Her current practice location is 2705 Enloe St, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 690-2600.

Kelly Marie Widule is licensed to practice in Wisconsin (license number 6214-26) 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 1720589161.

Contact Information

	Kelly Marie Widule, OTR/L
	2705 Enloe St, Hudson, WI 54016-8173
	(715) 690-2600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Marie Widule
Gender	Female
Speciality	Occupational Therapist
Location	2705 Enloe St, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720589161
Provider Enumeration Date: 02/21/2018
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8325302367
Enrollment ID: I20230720003149

Medical Identifiers

Medical identifiers for Kelly Marie Widule such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720589161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	6214-26 (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. Kelly Marie Widule allows following entities to bill medicare on her behalf.

Provider Name	Points Of Stillness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1841516713 PECOS PAC ID: 9638324049 Enrollment ID: O20130308000194

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. Kelly Marie Widule 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
Kelly Marie Widule, OTR/L N8051 925th St, River Falls, WI 54022-4437 Ph: () -	Kelly Marie Widule, OTR/L 2705 Enloe St, Hudson, WI 54016-8173 Ph: (715) 690-2600

Reviews and Comments

Occupational Therapist in Hudson, WI

Nicole Marie Chisholm, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600 Fax: 715-381-8131
Caroline Kay Williamson, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-386-2128
Jennifer Marie Cook, BSW, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, St Croix Therapy Inc, Hudson, WI 54016 Phone: 715-386-2128 Fax: 715-386-6119
Caroline Mccleary, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128
Alecia Lyn Dadez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 742 Sterbenz Dr, Hudson, WI 54016 Phone: 715-386-2128
Malorie Morgan Richer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2705 Enloe St, Hudson, WI 54016 Phone: 715-690-2600
Heather May Simmel, MOTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6321

Kelly Marie Widule, OTR/L - Medicare Occupational Therapist in Hudson, WI