Alita Dorn, OT in Janesville, WI - Medicare Occupational Therapist Provider

Alita Dorn, OT is a medicare enrolled "Occupational Therapist" provider in Janesville, Wisconsin. Her current practice location is 3200 E Racine St, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 371-8000.

Alita Dorn is licensed to practice in Wisconsin (license number 1342026) 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 1083765796.

Contact Information

	Alita Dorn, OT
	3200 E Racine St, Janesville, WI 53546-2343
	(608) 371-8000
	(608) 371-8904

Map and Direction

Healthcare Provider's Profile

Full Name	Alita Dorn
Gender	Female
Speciality	Occupational Therapist
Location	3200 E Racine St, Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083765796
Provider Enumeration Date: 01/16/2007
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0345403739
Enrollment ID: I20120522001295

Medical Identifiers

Medical identifiers for Alita Dorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083765796	NPI	-	NPPES
1083765796	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	1342026 (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. Alita Dorn allows following entities to bill medicare on her behalf.

Provider Name	Dean Health Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Alita Dorn 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
Alita Dorn, OT 3200 E Racine St, Janesville, WI 53546-2343 Ph: (608) 371-8000	Alita Dorn, OT 3200 E Racine St, Janesville, WI 53546-2343 Ph: (608) 371-8000

Reviews and Comments

Occupational Therapist in Janesville, WI

Terri Jennifer Tomicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 N Chatham St, Janesville, WI 53548 Phone: 608-774-0734
Karen Saunders, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000
Heidi Alderman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 557 N Washington St, Janesville, WI 53548 Phone: 608-754-6000
Jennifer Sue Canik, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000
Moving On Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 W. Court St., Suite 101, Janesville, WI 53548 Phone: 085-630-1136 Fax: 608-563-0220
Kathleen M. Boertman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6842 Fax: 608-741-6953
Bethany Lyn Weberpal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Milwaukee St, Janesville, WI 53548 Phone: 608-273-3232

Alita Dorn, OT - Medicare Occupational Therapist in Janesville, WI