Shelley Wiesel, OTR in Mishawaka, IN - Medicare Occupational Therapist Provider

Shelley Wiesel, OTR is a medicare enrolled "Occupational Therapist" provider in Mishawaka, Indiana. Her current practice location is 4609 Grape Rd, Ste B-7, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 360-8132.

Shelley Wiesel is licensed to practice in Indiana (license number 31003555A) 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 1316131113.

Contact Information

	Shelley Wiesel, OTR
	4609 Grape Rd, Ste B-7, Mishawaka, IN 46545-2649
	(574) 360-8132
	(888) 370-2324

Map and Direction

Healthcare Provider's Profile

Full Name	Shelley Wiesel
Gender	Female
Speciality	Occupational Therapist
Location	4609 Grape Rd, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316131113
Provider Enumeration Date: 09/05/2007
Last Update Date: 07/13/2011

Medicare PECOS Information:

PECOS PAC ID: 3173610003
Enrollment ID: I20071024000578

Medical Identifiers

Medical identifiers for Shelley Wiesel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316131113	NPI	-	NPPES
200876300	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31003555A (Indiana)	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. Shelley Wiesel allows following entities to bill medicare on her behalf.

Provider Name	Powerback Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174275283 PECOS PAC ID: 2365359932 Enrollment ID: O20110708000322

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. Shelley Wiesel 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
Shelley Wiesel, OTR 4609 Grape Rd, Suite B-7, Mishawaka, IN 46545-2649 Ph: (574) 360-8132	Shelley Wiesel, OTR 4609 Grape Rd, Ste B-7, Mishawaka, IN 46545-2649 Ph: (574) 360-8132

Reviews and Comments

Occupational Therapist in Mishawaka, IN

Ms. Christine Lybb Aragon, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4609 Grape Rd, Suite B7, Mishawaka, IN 46545 Phone: 269-268-5601 Fax: 888-370-2324
Michael Wroblewski, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Mishawaka, IN 46545 Phone: 574-931-2805
Leslie C Erickson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 524 E Mckinley Ave Ste 1, Mishawaka, IN 46545 Phone: 574-255-8730 Fax: 574-255-8732
Trevor David Manspeaker, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Hickory Rd, Mishawaka, IN 46545 Phone: 574-252-7225
Pamela K. Murphy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Tanglewood Ln, Mishawaka, IN 46545 Phone: 574-277-4310
Kathleen Ann Zintsmaster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200

Shelley Wiesel, OTR - Medicare Occupational Therapist in Mishawaka, IN