Alicia Leigh Jensen, OTR/L in South Range, WI - Medicare Occupational Therapist Provider

Alicia Leigh Jensen, OTR/L is a medicare enrolled "Occupational Therapist" provider in South Range, Wisconsin. Her current practice location is 8274 E San Rd, South Range, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 398-3523.

Alicia Leigh Jensen is licensed to practice in * (Not Available) (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 1811570799.

Contact Information

	Alicia Leigh Jensen, OTR/L
	8274 E San Rd, South Range, WI 54874-8621
	(715) 398-3523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Leigh Jensen
Gender	Female
Speciality	Occupational Therapist
Location	8274 E San Rd, South Range, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811570799
Provider Enumeration Date: 04/29/2021
Last Update Date: 04/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7214460872
Enrollment ID: I20241104003370

Medical Identifiers

Medical identifiers for Alicia Leigh Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811570799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Alicia Leigh Jensen allows following entities to bill medicare on her behalf.

Provider Name	Burnett Medical Center Inc
Provider Type	Part A Provider - Critical Access Hospital
Provider Identifiers	NPI Number: 1225191687 PECOS PAC ID: 2163314931 Enrollment ID: O20120110000801

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. Alicia Leigh Jensen 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
Alicia Leigh Jensen, OTR/L 8274 E San Rd, South Range, WI 54874-8621 Ph: () -	Alicia Leigh Jensen, OTR/L 8274 E San Rd, South Range, WI 54874-8621 Ph: (715) 398-3523

Reviews and Comments

Occupational Therapist in South Range, WI

Mrs. Nancy Cope, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8274 E San Rd, South Range, WI 54874 Phone: 715-398-3523 Fax: 920-683-0210
Ann Andersen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8274 E San Rd, South Range, WI 54874 Phone: 715-398-3523
Kelsey Krob, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8274 E San Rd, South Range, WI 54874 Phone: 715-398-3523

Alicia Leigh Jensen, OTR/L - Medicare Occupational Therapist in South Range, WI