Tiffany Ann Salentine, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hobart, Wisconsin. Her current practice location is
650 Centennial Centre Blvd, Hobart, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 006-8583.
Tiffany Ann Salentine is licensed to practice in Wisconsin (license number 8170-26) 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 1972200012.
Healthcare Provider's Profile
Full Name | Tiffany Ann Salentine |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 650 Centennial Centre Blvd, Hobart, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972200012
- Provider Enumeration Date: 02/09/2023
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032584925
- Enrollment ID: I20230406000983
Medical Identifiers
Medical identifiers for Tiffany Ann Salentine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972200012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 8170-26 (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. Tiffany Ann Salentine allows following entities to bill medicare on her behalf.
Provider Name | Sundance Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
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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. Tiffany Ann Salentine 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 |
Tiffany Ann Salentine, OTR/L 12107 Tannery Rd, Mishicot, WI 54228-9408 Ph: (920) 255-5544 | Tiffany Ann Salentine, OTR/L 650 Centennial Centre Blvd, Hobart, WI 54155-8989 Ph: (920) 006-8583 |
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