Samantha J Williams, OTR/L in Menomonee Falls, WI - Medicare Occupational Therapist Provider

Samantha J Williams, OTR/L is a medicare enrolled "Occupational Therapist" provider in Menomonee Falls, Wisconsin. Her current practice location is N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 251-7500.

Samantha J Williams is licensed to practice in Wisconsin (license number 6968-26) 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 1164196291.

Contact Information

	Samantha J Williams, OTR/L
	N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810
	(262) 251-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha J Williams
Gender	Female
Speciality	Occupational Therapist
Location	N84w16889 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164196291
Provider Enumeration Date: 08/03/2021
Last Update Date: 10/14/2022

Medicare PECOS Information:

PECOS PAC ID: 3678962347
Enrollment ID: I20211118000842

Medical Identifiers

Medical identifiers for Samantha J Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164196291	NPI	-	NPPES
100186301	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	6968-26 (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. Samantha J Williams 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

Provider Name	Lakeshore Medical Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Provider Name	Aurora Advanced Healthcare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Samantha J Williams 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
Samantha J Williams, OTR/L 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 251-7500	Samantha J Williams, OTR/L N84w16889 Menomonee Ave, Menomonee Falls, WI 53051-2810 Ph: (262) 251-7500

Reviews and Comments

Occupational Therapist in Menomonee Falls, WI

Mrs. Emily Anne Conger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-2503
Kelly Jo Ketterhagen, MSOTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050
Lauren Marie Boldt, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-1638
Alexander R Hendrickson, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051 Phone: 608-252-2000
Mrs. Mary Jane Kaczmarek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 Fax: 262-255-7834
Katelyn Harmon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100
Ms. Jamie L Mitchell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 Fax: 262-532-1409

Samantha J Williams, OTR/L - Medicare Occupational Therapist in Menomonee Falls, WI