Sarah L Konzak, OTR is a medicare enrolled "Occupational Therapist - Hand" provider in Cedar Grove, Wisconsin. Her current practice location is
511 S 6th St, Cedar Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 668-6777.
Sarah L Konzak is licensed to practice in Wisconsin (license number 3445-026) 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 1215070909.
Healthcare Provider's Profile
| Full Name | Sarah L Konzak |
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| Gender | Female |
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| Speciality | Occupational Therapist - Hand |
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| Location | 511 S 6th St, Cedar Grove, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215070909
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5193888485
- Enrollment ID: I20090113000469
Medical Identifiers
Medical identifiers for Sarah L Konzak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215070909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XH1200X | Occupational Therapist - Hand | 3445-026 (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. Sarah L Konzak allows following entities to bill medicare on her behalf.
| Provider Name | Aurora Medical Group, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Sarah L Konzak 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 |
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Sarah L Konzak, OTR
511 S 6th St,
Cedar Grove, WI 53013-1679
Ph: (920) 668-6777 | Sarah L Konzak, OTR
511 S 6th St,
Cedar Grove, WI 53013-1679
Ph: (920) 668-6777 |
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