Jill Shea Suess, OTR in Random Lake, WI - Medicare Occupational Therapist Provider

Jill Shea Suess, OTR is a medicare enrolled "Occupational Therapist" provider in Random Lake, Wisconsin. Her current practice location is 402 First Street, Random Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 994-9700.

Jill Shea Suess is licensed to practice in Wisconsin (license number 3789026) 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 1134335169.

Contact Information

	Jill Shea Suess, OTR
	402 First Street, Random Lake, WI 53075
	(920) 994-9700
	(920) 994-4606

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Shea Suess
Gender	Female
Speciality	Occupational Therapist
Location	402 First Street, Random Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134335169
Provider Enumeration Date: 05/15/2007
Last Update Date: 11/25/2009

Medicare PECOS Information:

PECOS PAC ID: 1153465034
Enrollment ID: I20100216000190

Medical Identifiers

Medical identifiers for Jill Shea Suess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134335169	NPI	-	NPPES
40902000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	3789026 (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. Jill Shea Suess allows following entities to bill medicare on her behalf.

Provider Name	Great Lakes Healthcare Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1184282618 PECOS PAC ID: 5395079719 Enrollment ID: O20190730000104

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. Jill Shea Suess 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
Jill Shea Suess, OTR 15985 W Heatherly Dr, New Berlin, WI 53151-5619 Ph: (262) 641-0805	Jill Shea Suess, OTR 402 First Street, Random Lake, WI 53075 Ph: (920) 994-9700

Reviews and Comments

Occupational Therapist in Random Lake, WI

Badieh Widmer, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-4606
Mrs. Valerie Jean Stone, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 First Street, Random Lake, WI 53075 Phone: 262-343-0520
Mrs. Barbara Junge Mueller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-8466
Elizabeth Marie Theis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Christines Way, Random Lake, WI 53075 Phone: 920-889-5056
Megan C Horn, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 First Street, Random Lake, WI 53075 Phone: 920-994-9700 Fax: 920-994-4606
Kathleen Mary Kohlbeck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-4606

Jill Shea Suess, OTR - Medicare Occupational Therapist in Random Lake, WI