Mr John L Elmendorf Iii, OTR/L in Sheboygan, WI - Medicare Occupational Therapist Provider

Mr John L Elmendorf Iii, OTR/L is a medicare enrolled "Occupational Therapist" provider in Sheboygan, Wisconsin. His current practice location is 1125 N 13th St, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 803-1617.

Mr John L Elmendorf Iii is licensed to practice in Wisconsin (license number 2810-026) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790966604.

Contact Information

	Mr John L Elmendorf Iii, OTR/L
	1125 N 13th St, Sheboygan, WI 53081-3281
	(920) 803-1617
	(920) 803-1622

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John L Elmendorf Iii
Gender	Male
Speciality	Occupational Therapist
Location	1125 N 13th St, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790966604
Provider Enumeration Date: 11/19/2007
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 4587837323
Enrollment ID: I20141229000226

Medical Identifiers

Medical identifiers for Mr John L Elmendorf Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790966604	NPI	-	NPPES
41813000	Medicaid	WI
40794400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2810-026 (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. Mr John L Elmendorf Iii allows following entities to bill medicare on his behalf.

Provider Name	Progressive Beginnings, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1598886152 PECOS PAC ID: 7012189848 Enrollment ID: O20141208001324

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. Mr John L Elmendorf Iii 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
Mr John L Elmendorf Iii, OTR/L 1125 N 13th St, Sheboygan, WI 53081-3281 Ph: (920) 803-1617	Mr John L Elmendorf Iii, OTR/L 1125 N 13th St, Sheboygan, WI 53081-3281 Ph: (920) 803-1617

Reviews and Comments

Occupational Therapist in Sheboygan, WI

Emily Joann Lucht, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 S 13th St, Sheboygan, WI 53081 Phone: 715-572-5893
Joshua R Luna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2131 S Business Dr, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622
Hailey Witthun, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-803-1617
Ashley L Coop, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2508 Cooper Ave, Sheboygan, WI 53083 Phone: 920-838-4595
Mrs. Ann M Hering, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-208-9648
Mrs. Amy Kate Summers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5550
Sarah M Keller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-208-9648 Fax: 920-208-6316

Mr John L Elmendorf Iii, OTR/L - Medicare Occupational Therapist in Sheboygan, WI