Mercedes Lynn Antolak, OTR/L in Sparta, WI - Medicare Occupational Therapist Provider

Mercedes Lynn Antolak, OTR/L is a medicare enrolled "Occupational Therapist" provider in Sparta, Wisconsin. Her current practice location is 310 West Main Street, Sparta, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 758-0940.

Mercedes Lynn Antolak is licensed to practice in Wisconsin (license number 8182-26) 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 1730885047.

Contact Information

	Mercedes Lynn Antolak, OTR/L
	310 West Main Street, Sparta, WI 54656-2170
	(608) 758-0940
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mercedes Lynn Antolak
Gender	Female
Speciality	Occupational Therapist
Location	310 West Main Street, Sparta, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730885047
Provider Enumeration Date: 02/07/2023
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8022472018
Enrollment ID: I20230908002621

Medical Identifiers

Medical identifiers for Mercedes Lynn Antolak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730885047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5989 (Minnesota)	Secondary
225X00000X	Occupational Therapist	8182-26 (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. Mercedes Lynn Antolak allows following entities to bill medicare on her behalf.

Provider Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Mercedes Lynn Antolak 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
Mercedes Lynn Antolak, OTR/L 200 1st Street Sw, Rochester, MN 55905-4054 Ph: (507) 284-2511	Mercedes Lynn Antolak, OTR/L 310 West Main Street, Sparta, WI 54656-2170 Ph: (608) 758-0940

Reviews and Comments

Occupational Therapist in Sparta, WI

Johanna N Meyer, OT/R Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-785-0940
Megan J Steele, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9484 Festival Ave, Sparta, WI 54656 Phone: 608-366-1269
Lauren Carol Sulikowski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S Water St, Sparta, WI 54656 Phone: 608-269-3168
Jackie M Sands, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S Water St, Sparta, WI 54656 Phone: 608-269-0555
Barbara J Blank, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-785-0940
Anne M Kuzma, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-269-1770
Emma Rose Fleming, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-785-0940

Mercedes Lynn Antolak, OTR/L - Medicare Occupational Therapist in Sparta, WI