Tessa Kleinwolterink, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Boone, Iowa. Her current practice location is
1015 Union St, Boone, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 432-7729.
Tessa Kleinwolterink is licensed to practice in Iowa (license number 087999) 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 1649752452.
Healthcare Provider's Profile
| Full Name | Tessa Kleinwolterink |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 1015 Union St, Boone, Iowa |
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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: 1649752452
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 08/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335533694
- Enrollment ID: I20220302001527
Medical Identifiers
Medical identifiers for Tessa Kleinwolterink such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649752452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 087999 (Iowa) | 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. Tessa Kleinwolterink allows following entities to bill medicare on her behalf.
| Provider Name | Work Systems Rehab Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1417047317
PECOS PAC ID: 5193619625
Enrollment ID: O20040213000305 |
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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. Tessa Kleinwolterink 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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Tessa Kleinwolterink, OTD, OTR/L
1015 Union St,
Boone, IA 50036-4821
Ph: (515) 432-7729 | Tessa Kleinwolterink, OTD, OTR/L
1015 Union St,
Boone, IA 50036-4821
Ph: (515) 432-7729 |
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