Mrs Carissa A Sommer, OTR/L in Sheboygan, WI - Medicare Occupational Therapist Provider

Mrs Carissa A Sommer, OTR/L is a medicare enrolled "Occupational Therapist" provider in Sheboygan, Wisconsin. Her current practice location is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 457-4461.

Mrs Carissa A Sommer is licensed to practice in Wisconsin (license number 6492) 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 1497319941.

Contact Information

	Mrs Carissa A Sommer, OTR/L
	2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129
	(920) 457-4461
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Carissa A Sommer
Gender	Female
Speciality	Occupational Therapist
Location	2414 Kohler Memorial Dr, 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: 1497319941
Provider Enumeration Date: 04/30/2019
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8022473651
Enrollment ID: I20230503001733

Medical Identifiers

Medical identifiers for Mrs Carissa A Sommer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497319941	NPI	-	NPPES
6492-26	Other		WI OTR/L LICENSE NUMBER
100102629	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0200X	Occupational Therapist - Pediatrics	6492-26 (Wisconsin)	Secondary
225X00000X	Occupational Therapist	6492 (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. Mrs Carissa A Sommer allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Mrs Carissa A Sommer 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
Mrs Carissa A Sommer, OTR/L Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 457-4461	Mrs Carissa A Sommer, OTR/L 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461

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

Mrs Carissa A Sommer, OTR/L - Medicare Occupational Therapist in Sheboygan, WI