Courtney Rae Retzlaff, MS CCC-SLP in Beaver Dam, WI - Medicare Speech-Language Pathologist Provider

Courtney Rae Retzlaff, MS CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Beaver Dam, Wisconsin. Her current practice location is 104 Fakes Ct., Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 923-7014.

Courtney Rae Retzlaff is licensed to practice in Wisconsin (license number ) 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 1518640598.

Contact Information

	Courtney Rae Retzlaff, MS CCC-SLP
	104 Fakes Ct., Beaver Dam, WI 53916
	(715) 923-7014
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Rae Retzlaff
Gender	Female
Speciality	Speech-language Pathologist
Location	104 Fakes Ct., Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518640598
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6103280268
Enrollment ID: I20230908000784

Medical Identifiers

Medical identifiers for Courtney Rae Retzlaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518640598	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(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. Courtney Rae Retzlaff allows following entities to bill medicare on her behalf.

Provider Name	Oasis Therapy Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370

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. Courtney Rae Retzlaff 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
Courtney Rae Retzlaff, MS CCC-SLP 631 Hazel St, Oshkosh, WI 54901 Ph: (715) 923-7014	Courtney Rae Retzlaff, MS CCC-SLP 104 Fakes Ct., Beaver Dam, WI 53916 Ph: (715) 923-7014

Reviews and Comments

Speech-Language Pathologist in Beaver Dam, WI

Ms. Emily M Neuman, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750
Angela Kay Van Ooyen, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 Fax: 920-885-3839
Colleen Anhalt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750 Fax: 920-885-3839
Kali Lynn Shine, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750
Mrs. Mary Leigh Kirschbaum, M.S./CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 410 Roedl Court, Golden Living Center, Beaver Dam, WI 53916 Phone: 920-887-7191 Fax: 920-887-7270
Mrs. Jacqueline Maud Davis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1223 Madison St, Beaver Dam, WI 53916 Phone: 920-885-4750

Courtney Rae Retzlaff, MS CCC-SLP - Medicare Speech-Language Pathologist in Beaver Dam, WI