Olivia T Dziedzic, OTR/L in Beaver Dam, WI - Medicare Occupational Therapist Provider

Olivia T Dziedzic, OTR/L is a medicare enrolled "Occupational Therapist" provider in Beaver Dam, Wisconsin. Her current practice location is 707 S University Ave, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-7181.

Olivia T Dziedzic is licensed to practice in Wisconsin (license number 6803) 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 1306415617.

Contact Information

	Olivia T Dziedzic, OTR/L
	707 S University Ave, Beaver Dam, WI 53916-3027
	(920) 887-7181
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Olivia T Dziedzic
Gender	Female
Speciality	Occupational Therapist
Location	707 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306415617
Provider Enumeration Date: 06/21/2021
Last Update Date: 06/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0648673616
Enrollment ID: I20210728002164

Medical Identifiers

Medical identifiers for Olivia T Dziedzic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306415617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	6803 (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. Olivia T Dziedzic allows following entities to bill medicare on her behalf.

Provider Name	Beaver Dam Community Hospitals Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666

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. Olivia T Dziedzic 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
Olivia T Dziedzic, OTR/L 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511	Olivia T Dziedzic, OTR/L 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (920) 887-7181

Reviews and Comments

Occupational Therapist in Beaver Dam, WI

Ms. Brenda W Dykstra, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Roedl Ct, Beaver Dam, WI 53916 Phone: 920-887-7191 Fax: 920-887-7270
Jessica A Barczak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750
Mrs. Martha Helen Lewke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-4039 Fax: 920-887-5970
Ashley L Crull, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 Fax: 920-885-3839
Kristina Marie Schmeling, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6682
Andrea Kvistad, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-4039

Olivia T Dziedzic, OTR/L - Medicare Occupational Therapist in Beaver Dam, WI