Hailey Witthun, OTR in Sheboygan, WI - Medicare Occupational Therapist Provider

Hailey Witthun, OTR is a medicare enrolled "Occupational Therapist" provider in Sheboygan, Wisconsin. Her current practice location is 1125 N 13th St, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 803-1617.

Hailey Witthun is licensed to practice in Wisconsin (license number 8442) 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 1033970934.

Contact Information

	Hailey Witthun, OTR
	1125 N 13th St, Sheboygan, WI 53081-3281
	(920) 803-1617
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hailey Witthun
Gender	Female
Speciality	Occupational Therapist
Location	1125 N 13th St, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033970934
Provider Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1254852189
Enrollment ID: I20250307003361

Medical Identifiers

Medical identifiers for Hailey Witthun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033970934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	8442 (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. Hailey Witthun allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275073363 PECOS PAC ID: 5193036432 Enrollment ID: O20170614002978

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. Hailey Witthun 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
Hailey Witthun, OTR 1125 N 13th St, Sheboygan, WI 53081-3281 Ph: (920) 803-1617	Hailey Witthun, OTR 1125 N 13th St, Sheboygan, WI 53081-3281 Ph: (920) 803-1617

Reviews and Comments

Occupational Therapist in Sheboygan, WI

Emily Joann Lucht, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 S 13th St, Sheboygan, WI 53081 Phone: 715-572-5893
Joshua R Luna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2131 S Business Dr, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622
Sarah Mary Birenbaum, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 S 13th St, Sheboygan, WI 53081 Phone: 920-458-4040
Sydney Schouten, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3129 Michigan Ave, Sheboygan, WI 53081 Phone: 920-458-1155
Ashley L Coop, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2508 Cooper Ave, Sheboygan, WI 53083 Phone: 920-838-4595
Mrs. Ann M Hering, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-208-9648

Hailey Witthun, OTR - Medicare Occupational Therapist in Sheboygan, WI