Taisha Douglas, OT in La Crosse, WI - Medicare Occupational Therapist Provider

Taisha Douglas, OT is a medicare enrolled "Occupational Therapist" provider in La Crosse, Wisconsin. Her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Taisha Douglas is licensed to practice in Wisconsin (license number 6415) 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 1477207405.

Contact Information

	Taisha Douglas, OT
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taisha Douglas
Gender	Female
Speciality	Occupational Therapist
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477207405
Provider Enumeration Date: 02/08/2022
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7113372723
Enrollment ID: I20231017000229

Medical Identifiers

Medical identifiers for Taisha Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477207405	NPI	-	NPPES
1477207405	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	105565 (Minnesota)	Secondary
225X00000X	Occupational Therapist	6415 (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. Taisha Douglas allows following entities to bill medicare on her behalf.

Provider Name	Dean Health Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Taisha Douglas 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
Taisha Douglas, OT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Taisha Douglas, OT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Occupational Therapist in La Crosse, WI

Lauren A Hutchins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2022 State St, La Crosse, WI 54601 Phone: 270-559-3025
Ashley Rickaway, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Robert L Bobenmoyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kathryn L. Bakke, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Kristin G Tancil, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-791-9768 Fax: 608-791-7124
Mrs. Janet M Manders, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1407 Saint Andrew St Ste 100, La Crosse, WI 54603 Phone: 800-439-7012
Jodi Lynn Langenhorst, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Brickyard Ln, La Crosse, WI 54601 Phone: 608-787-6686

Taisha Douglas, OT - Medicare Occupational Therapist in La Crosse, WI