Melinda R Grandaw, OTR/L in Osceola, WI - Medicare Occupational Therapist Provider

Melinda R Grandaw, OTR/L is a medicare enrolled "Occupational Therapist" provider in Osceola, Wisconsin. Her current practice location is 2600 65th Avenue, Osceola, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 294-2111.

Melinda R Grandaw is licensed to practice in Wisconsin (license number 4827-26) 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 1578634879.

Contact Information

	Melinda R Grandaw, OTR/L
	2600 65th Avenue, Osceola, WI 54020-4370
	(715) 294-2111
	(715) 294-5758

Map and Direction

Healthcare Provider's Profile

Full Name	Melinda R Grandaw
Gender	Female
Speciality	Occupational Therapist
Location	2600 65th Avenue, Osceola, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578634879
Provider Enumeration Date: 11/10/2006
Last Update Date: 03/14/2011

Medicare PECOS Information:

PECOS PAC ID: 1951603091
Enrollment ID: I20160107000303

Medical Identifiers

Medical identifiers for Melinda R Grandaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578634879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4827-26 (Wisconsin)	Primary
225X00000X	Occupational Therapist	100675 (Minnesota)	Secondary

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. Melinda R Grandaw allows following entities to bill medicare on her behalf.

Provider Name	St. Croix Regional Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165

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. Melinda R Grandaw 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
Melinda R Grandaw, OTR/L Po Box 218, Osceola, WI 54020-0218 Ph: (715) 294-2111	Melinda R Grandaw, OTR/L 2600 65th Avenue, Osceola, WI 54020-4370 Ph: (715) 294-2111

Reviews and Comments

Occupational Therapist in Osceola, WI

Mrs. Katherine Sue Reinke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 65th Ave, Osceola, WI 54020 Phone: 715-294-1927 Fax: 715-294-4736
Mrs. Lanette M Johnson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 65th Avenue, Osceola, WI 54020 Phone: 715-294-2111 Fax: 715-294-5758
Rachel Hall, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2650 65th Ave, Osceola, WI 54020 Phone: 715-294-1100 Fax: 715-688-2505
Jaclyn Louise Veal, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2127 50th Ave, Osceola, WI 54020 Phone: 651-353-8183

Melinda R Grandaw, OTR/L - Medicare Occupational Therapist in Osceola, WI