Jesse Kailyn Haefner, OTR in Greenfield, WI - Medicare Occupational Therapist Provider

Jesse Kailyn Haefner, OTR is a medicare enrolled "Occupational Therapist" provider in Greenfield, Wisconsin. Her current practice location is 9000 W Sura Ln, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 246-6800.

Jesse Kailyn Haefner is licensed to practice in Wisconsin (license number 7175-26) 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 1073267787.

Contact Information

	Jesse Kailyn Haefner, OTR
	9000 W Sura Ln, Greenfield, WI 53228-3477
	(414) 246-6800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jesse Kailyn Haefner
Gender	Female
Speciality	Occupational Therapist
Location	9000 W Sura Ln, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073267787
Provider Enumeration Date: 02/10/2022
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0749675494
Enrollment ID: I20220316003475

Medical Identifiers

Medical identifiers for Jesse Kailyn Haefner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073267787	NPI	-	NPPES
100195260	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	7175-26 (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. Jesse Kailyn Haefner allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Wi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309

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. Jesse Kailyn Haefner 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
Jesse Kailyn Haefner, OTR 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () -	Jesse Kailyn Haefner, OTR 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800

Reviews and Comments

Occupational Therapist in Greenfield, WI

Mrs. Rhonda L. Shubert, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 West Cold Spring Road, Greenfield Rehabilitation Agency, Greenfield, WI 53220 Phone: 414-327-6603 Fax: 414-327-5411
Stephaney Anne Bublitz, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800
Mrs. Jennifer C Willms, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4144 S 99th St, Greenfield, WI 53228 Phone: 414-328-4575
Catherine Gruen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 W Coldspring Rd, Greenfield, WI 53220 Phone: 414-327-6603
Rebecca Mueller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7517 W Coldspring Rd, Greenfield, WI 53220 Phone: 414-327-6603 Fax: 414-327-5411
Mrs. Laura Christine Socha, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800

Jesse Kailyn Haefner, OTR - Medicare Occupational Therapist in Greenfield, WI