Kaitlyn Cornella-carlson, OTR - Medicare Occupational Therapist in Brookfield, WI

Kaitlyn Cornella-carlson, OTR is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Brookfield, Wisconsin. Her current practice location is 17280 W North Ave, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 928-8830.

Kaitlyn Cornella-carlson is licensed to practice in Wisconsin (license number 7202-26) 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 1831821891.

Contact Information

Kaitlyn Cornella-carlson, OTR
17280 W North Ave,
Brookfield, WI 53045-4366
(262) 928-8830
Not Available



Healthcare Provider's Profile

Full NameKaitlyn Cornella-carlson
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location17280 W North Ave, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831821891
  • Provider Enumeration Date: 06/28/2022
  • Last Update Date: 06/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395129548
  • Enrollment ID: I20220907001714

Medical Identifiers

Medical identifiers for Kaitlyn Cornella-carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831821891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 7202-26 (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. Kaitlyn Cornella-carlson allows following entities to bill medicare on her behalf.
Provider NameProhealth Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066

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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. Kaitlyn Cornella-carlson 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
Kaitlyn Cornella-carlson, OTR
1012 N Bluespruce Cir,
Hartland, WI 53029-8681

Ph: (262) 347-8002
Kaitlyn Cornella-carlson, OTR
17280 W North Ave,
Brookfield, WI 53045-4366

Ph: (262) 928-8830

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Occupational Therapist in Brookfield, WI

Mrs. Kay Lynne Luck, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045
Phone: 262-780-0707    Fax: 262-780-0717
Mary Teresa Ortell, OCCUPATIONAL THERAPI
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 18740 W Bluemound Rd, Brookfield, WI 53045
Phone: 262-641-8728    Fax: 262-797-8306
Paige Nicole Splittgerber, OTD, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3360 Gateway Rd, Brookfield, WI 53045
Phone: 262-923-7101    
Mrs. Kimberly Ann Beckmann, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045
Phone: 262-780-0707    Fax: 262-780-0717
Cindy Van Valin, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045
Phone: 262-780-0707    
Kenneth Siebels,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 19395 W Capitol Dr Ste 200, Brookfield, WI 53045
Phone: 262-923-7101    
Carol Marie Wingenter, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3285 Sunnyview Ln, Brookfield, WI 53005
Phone: 262-783-9863    

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