Kelly Jo Ketterhagen, MSOTR in Menomonee Falls, WI - Medicare Occupational Therapy Provider

Kelly Jo Ketterhagen, MSOTR is a medicare enrolled "Occupational Therapist - Human Factors" provider in Menomonee Falls, Wisconsin. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Fox Rehabilitation Services Wi Llc and her current practice location is N84w17049 Menomonee Ave, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 255-7050.

Kelly Jo Ketterhagen is licensed to practice in Wisconsin (license number 4355-026) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043428287.

Contact Information

	Kelly Jo Ketterhagen, MSOTR
	N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701
	(262) 255-7050
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Jo Ketterhagen
Gender	Female
Speciality	Occupational Therapy
Experience	19 Years
Location	N84w17049 Menomonee Ave, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Jo Ketterhagen graduated from medical school in 2005

NPI Data:

NPI Number: 1043428287
Provider Enumeration Date: 05/20/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355678244
Enrollment ID: I20190815001655

Medical Identifiers

Medical identifiers for Kelly Jo Ketterhagen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043428287	NPI	-	NPPES
40894900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1300X	Occupational Therapist - Human Factors	4355-026 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fox Rehabilitation Services Wi Llc	1658647581	106

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. Kelly Jo Ketterhagen 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. Kelly Jo Ketterhagen 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
Kelly Jo Ketterhagen, MSOTR 4685 Autumn Trl, Richfield, WI 53076-9419 Ph: () -	Kelly Jo Ketterhagen, MSOTR N84w17049 Menomonee Ave, Menomonee Falls, WI 53051-2701 Ph: (262) 255-7050

Reviews and Comments

Occupational Therapist in Menomonee Falls, WI

Mrs. Emily Anne Conger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-2503
Lauren Marie Boldt, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-1638
Alexander R Hendrickson, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051 Phone: 608-252-2000
Mrs. Mary Jane Kaczmarek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 Fax: 262-255-7834
Katelyn Harmon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100
Ms. Jamie L Mitchell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 Fax: 262-532-1409

Kelly Jo Ketterhagen, MSOTR - Medicare Occupational Therapist in Menomonee Falls, WI