Gwen R Radke, OT - Medicare Occupational Therapist in Urbandale, IA

Gwen R Radke, OT is a medicare enrolled "Occupational Therapist" provider in Urbandale, Iowa. Her current practice location is 4319 Nw Urbandale Dr, Urbandale, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 225-4070.

Gwen R Radke is licensed to practice in Iowa (license number 1220) 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 1962540724.

Contact Information

Gwen R Radke, OT
4319 Nw Urbandale Dr,
Urbandale, IA 50322-7910
(515) 225-4070
Not Available



Healthcare Provider's Profile

Full NameGwen R Radke
GenderFemale
SpecialityOccupational Therapist
Location4319 Nw Urbandale Dr, Urbandale, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962540724
  • Provider Enumeration Date: 02/02/2007
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133597362
  • Enrollment ID: I20221119000490

Medical Identifiers

Medical identifiers for Gwen R Radke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962540724NPI-NPPES
01760OtherIAWELLMARK BCBS OF IOWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 1220 (Iowa)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. Gwen R Radke allows following entities to bill medicare on her behalf.
Provider NameBlue Stone Therapy Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932797297
PECOS PAC ID: 1850707787
Enrollment ID: O20210301002214

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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. Gwen R Radke 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
Gwen R Radke, OT
505 N Craig Dr,
Cherokee, IA 51012-1107

Ph: (712) 261-5877
Gwen R Radke, OT
4319 Nw Urbandale Dr,
Urbandale, IA 50322-7910

Ph: (515) 225-4070

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Occupational Therapist in Urbandale, IA

Andrew Vanblair, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13731 Hickman Rd, Urbandale, IA 50323
Phone: 515-331-9676    
Mrs. Jeanne Marie Fung, OTR/L
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 14817 Dellwood Dr, Urbandale, IA 50323
Phone: 515-229-0629    
Erin Johnson, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13731 Hickman Rd, Urbandale, IA 50323
Phone: 515-331-6907    
Molly Joanne Manning, OTD
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4222 161st St, Urbandale, IA 50323
Phone: 515-867-1571    
Mrs. Christen Anne Bliss, MOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4319 Nw Urbandale Dr, Urbandale, IA 50322
Phone: 515-225-4070    
Sarah Gronau,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4319 Nw Urbandale Dr, Urbandale, IA 50322
Phone: 515-225-4070    
Judy Heitmann, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8000 Douglas Ave, Urbandale, IA 50322
Phone: 515-251-3700    Fax: 515-251-3733

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