Ellie Douglass, in Platteville, WI - Medicare Occupational Therapist Provider

Ellie Douglass, is a medicare enrolled "Occupational Therapist" provider in Platteville, Wisconsin. Her current practice location is 1400 Eastside Rd, Platteville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 348-2331.

Ellie Douglass is licensed to practice in Wisconsin (license number 8840-26) 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 1396509634.

Contact Information

	Ellie Douglass,
	1400 Eastside Rd, Platteville, WI 53818-9800
	(608) 348-2331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellie Douglass
Gender	Female
Speciality	Occupational Therapist
Location	1400 Eastside Rd, Platteville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396509634
Provider Enumeration Date: 02/07/2024
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 5092239731
Enrollment ID: I20250403002635

Medical Identifiers

Medical identifiers for Ellie Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396509634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	8840-26 (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. Ellie Douglass allows following entities to bill medicare on her behalf.

Provider Name	Southwest Health Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831279793 PECOS PAC ID: 3072427772 Enrollment ID: O20031117000839

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. Ellie Douglass 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
Ellie Douglass, 1400 Eastside Rd, Platteville, WI 53818-9800 Ph: (608) 348-2331	Ellie Douglass, 1400 Eastside Rd, Platteville, WI 53818-9800 Ph: (608) 348-2331

Reviews and Comments

Occupational Therapist in Platteville, WI

Samantha Albrigtson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1400 Eastside Rd, Platteville, WI 53818 Phone: 608-342-5071
Kate M Freiburger, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1400 Eastside Rd, Platteville, WI 53818 Phone: 608-348-2331
Mary Elizabeth Gee, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1400 Eastside Rd, Platteville, WI 53818 Phone: 563-451-2468
Marissa Monson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1400 Eastside Rd, Platteville, WI 53818 Phone: 608-348-2331
Bridget Ann Wilson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 N Water St, Platteville, WI 53818 Phone: 608-348-2453 Fax: 608-348-2944
Allison M Kruser, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Eastside Rd, Platteville, WI 53818 Phone: 608-348-2331

Ellie Douglass, - Medicare Occupational Therapist in Platteville, WI