Lily Dettle, - Medicare Speech-Language Pathologist in Deforest, WI

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Lily Dettle, is a medicare enrolled "Speech-language Pathologist" provider in Deforest, Wisconsin. Her current practice location is 311 Winn Ct, Deforest, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 520-3634.

Lily Dettle is licensed to practice in Wisconsin (license number 4671-154) 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 1881189124.

Contact Information

Lily Dettle,
311 Winn Ct,
Deforest, WI 53532-3011
(715) 520-3634
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLily Dettle
GenderFemale
SpecialitySpeech-language Pathologist
Location311 Winn Ct, Deforest, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881189124
  • Provider Enumeration Date: 06/28/2018
  • Last Update Date: 06/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698206217
  • Enrollment ID: I20241007000595

Medical Identifiers

Medical identifiers for Lily Dettle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881189124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 4671-154 (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. Lily Dettle allows following entities to bill medicare on her behalf.
Provider NameFox Rehabilitation Services Wi Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI 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. Lily Dettle 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 AddressPractice Location Address
Lily Dettle,
311 Winn Ct,
Deforest, WI 53532-3011

Ph: (715) 520-3634		Lily Dettle,
311 Winn Ct,
Deforest, WI 53532-3011

Ph: (715) 520-3634

Reviews and Comments


Speech-Language Pathologist in Deforest, WI

Carmen Krug, SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 300 Cheyenne Ct, Deforest, WI 53532
Phone: 608-516-3702    
Valerie Sherwood,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6902 Parkside Cir, Deforest, WI 53532
Phone: 608-846-2101    
Tara Dahlke, BS, MA, MS
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 217 Pocahontas Ln, Deforest, WI 53532
Phone: 715-529-7736    
Joyce Dong,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6902 Parkside Cir, Deforest, WI 53532
Phone: 608-846-2101    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.