Tara Wittrock, CCC/SLP - Medicare Speech-Language Pathologist in Moose Lake, MN

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Tara Wittrock, CCC/SLP is a medicare enrolled "Speech-language Pathologist" provider in Moose Lake, Minnesota. Her current practice location is 4791 County Road 10 Ste 102, Moose Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 485-2020.

Tara Wittrock is licensed to practice in Minnesota (license number 9592) 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 1871906891.

Contact Information

Tara Wittrock, CCC/SLP
4791 County Road 10 Ste 102,
Moose Lake, MN 55767-9221
(218) 485-2020
(218) 485-2044

Map and Direction




Healthcare Provider's Profile

Full NameTara Wittrock
GenderFemale
SpecialitySpeech-language Pathologist
Location4791 County Road 10 Ste 102, Moose Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871906891
  • Provider Enumeration Date: 06/06/2014
  • Last Update Date: 08/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446669832
  • Enrollment ID: I20210517000169

Medical Identifiers

Medical identifiers for Tara Wittrock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871906891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 9592 (Minnesota)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. Tara Wittrock allows following entities to bill medicare on her behalf.
Provider NameTherapy Partners Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407809494
PECOS PAC ID: 4486552593
Enrollment ID: O20031229000333

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. Tara Wittrock 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 AddressPractice Location Address
Tara Wittrock, CCC/SLP
1939 Minnehaha Ave W Ste 300,
Saint Paul, MN 55104-1033

Ph: (651) 748-4338		Tara Wittrock, CCC/SLP
4791 County Road 10 Ste 102,
Moose Lake, MN 55767-9221

Ph: (218) 485-2020

Reviews and Comments


Speech-Language Pathologist in Moose Lake, MN

Rebecca Lou Lief-kuster, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4761 Coffee Lake Rd, Moose Lake, MN 55767
Phone: 218-341-0212    
Keri A Halverson, CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4572 County Road 61, Moose Lake, MN 55767
Phone: 218-485-4481    
Elizabeth Luoma, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4570 County Road 61, Moose Lake, MN 55767
Phone: 218-485-2020    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.