Alexa Rose Wistenberg, OT - Medicare Occupational Therapist in Green Bay, WI

Alexa Rose Wistenberg, OT is a medicare enrolled "Occupational Therapist" provider in Green Bay, Wisconsin. Her current practice location is 744 S Webster Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-7822.

Alexa Rose Wistenberg is licensed to practice in Wisconsin (license number 6530-26) 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 1457982910.

Contact Information

Alexa Rose Wistenberg, OT
744 S Webster Ave,
Green Bay, WI 54301-3505
(920) 433-7822
(920) 433-3651

Map and Direction




Healthcare Provider's Profile

Full NameAlexa Rose Wistenberg
GenderFemale
SpecialityOccupational Therapist
Location744 S Webster Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457982910
  • Provider Enumeration Date: 02/03/2020
  • Last Update Date: 02/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567898422
  • Enrollment ID: I20200212002345

Medical Identifiers

Medical identifiers for Alexa Rose Wistenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457982910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 6530-26 (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. Alexa Rose Wistenberg allows following entities to bill medicare on her behalf.
Provider NameBellin Memorial Hospital Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089
Provider NameOconto Hospital & Medical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356373302
PECOS PAC ID: 2163461781
Enrollment ID: O20050713000836

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. Alexa Rose Wistenberg 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
Alexa Rose Wistenberg, OT
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7222
Alexa Rose Wistenberg, OT
744 S Webster Ave,
Green Bay, WI 54301-3505

Ph: (920) 433-7822

Reviews and Comments


Occupational Therapist in Green Bay, WI

Ms. Joanne Mary Wirtz, MS OTR
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Practice Location: 1275 S Robinson Ave, Green Bay, WI 54311
Phone: 920-737-3077    
Mrs. Ramona Dawn Schmidt, OTR
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Practice Location: 1040 Pilgrim Way, Woodside Lutheran Home, Green Bay, WI 54304
Phone: 920-405-3522    Fax: 920-405-3522
Jamie Lynn Mosupye, O.T.
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Medicare: Medicare Enrolled
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-7823    Fax: 920-433-3651
Mrs. Beth Lee Slippy,
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Medicare: Not Enrolled in Medicare
Practice Location: 1555 Dousman St, Green Bay, WI 54303
Phone: 920-494-4525    
Mrs. Lynn Mary Jadin, O.T.R.
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Medicare: Not Enrolled in Medicare
Practice Location: 2801 S Webster Ave, Green Bay, WI 54301
Phone: 920-337-1122    Fax: 920-337-1126
Patricia M Slempkes, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-7822    Fax: 920-433-3651
Ms. Tracy Strebe, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2305 San Luis Pl, Green Bay, WI 54304
Phone: 920-494-5231    Fax: 920-494-2855

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.