Ms Emily Gough Henry, OTR/L in New London, WI - Medicare Occupational Therapist Provider

Ms Emily Gough Henry, OTR/L is a medicare enrolled "Occupational Therapist" provider in New London, Wisconsin. Her current practice location is E7475 Rawhide Rd, New London, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 538-1424.

Ms Emily Gough Henry is licensed to practice in Wisconsin (license number 6987-26) 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 1124694682.

Contact Information

	Ms Emily Gough Henry, OTR/L
	E7475 Rawhide Rd, New London, WI 54961-9025
	(920) 538-1424
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Emily Gough Henry
Gender	Female
Speciality	Occupational Therapist
Location	E7475 Rawhide Rd, New London, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124694682
Provider Enumeration Date: 06/03/2021
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1658803374
Enrollment ID: I20241018000485

Medical Identifiers

Medical identifiers for Ms Emily Gough Henry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124694682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	6987-26 (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. Ms Emily Gough Henry allows following entities to bill medicare on her behalf.

Provider Name	Back To You Rehab Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386124378 PECOS PAC ID: 2365789203 Enrollment ID: O20190130001199

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. Ms Emily Gough Henry 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
Ms Emily Gough Henry, OTR/L 1008 Byrd Ave, Neenah, WI 54956-3915 Ph: () -	Ms Emily Gough Henry, OTR/L E7475 Rawhide Rd, New London, WI 54961-9025 Ph: (920) 538-1424

Reviews and Comments

Occupational Therapist in New London, WI

Christina Quaintance, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: E8314 State Road 54, New London, WI 54961 Phone: 920-470-0340
Mrs. Linda May Collins, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Smith St, New London, WI 54961 Phone: 920-982-5440 Fax: 920-982-0444
Rachel Lohff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 E Beckert Rd, New London, WI 54961 Phone: 920-982-5354
Mrs. Rebecca Parker, MS,OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N2220 Bean City Road, New London, WI 54961 Phone: 920-982-1464
Mrs. Trina Marie Wurster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098
Debbra Lynn Goodman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098

Ms Emily Gough Henry, OTR/L - Medicare Occupational Therapist in New London, WI