Sydney Otis, is a medicare enrolled "Speech-language Pathologist" provider in Clintonville, Wisconsin. Her current practice location is
70 W Green Tree Rd, Clintonville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 823-2194.
Sydney Otis is licensed to practice in * (Not Available) (license number ) 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 1588220289.
Healthcare Provider's Profile
| Full Name | Sydney Otis |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 70 W Green Tree Rd, Clintonville, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588220289
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 05/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890141501
- Enrollment ID: I20231031002743
Medical Identifiers
Medical identifiers for Sydney Otis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588220289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Sydney Otis allows following entities to bill medicare on her behalf.
| Provider Name | Oasis Therapy Services Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1386381598
PECOS PAC ID: 8325427974
Enrollment ID: O20220706002370 |
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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. Sydney Otis 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 |
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Sydney Otis,
830 Chandler Ave,
Plover, WI 54467-2273
Ph: () - | Sydney Otis,
70 W Green Tree Rd,
Clintonville, WI 54929-1009
Ph: (715) 823-2194 |
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