Kassandra R Kostock, MSOT - Medicare Occupational Therapist in Lake Geneva, WI

Kassandra R Kostock, MSOT is a medicare enrolled "Occupational Therapist" provider in Lake Geneva, Wisconsin. Her current practice location is 700 Geneva Pkwy N Ste A, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 249-3505.

Kassandra R Kostock is licensed to practice in Wisconsin (license number 6675-26) 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 1073158937.

Contact Information

Kassandra R Kostock, MSOT
700 Geneva Pkwy N Ste A,
Lake Geneva, WI 53147-4594
(262) 249-3505
Not Available



Healthcare Provider's Profile

Full NameKassandra R Kostock
GenderFemale
SpecialityOccupational Therapist
Location700 Geneva Pkwy N Ste A, Lake Geneva, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073158937
  • Provider Enumeration Date: 11/14/2019
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789010695
  • Enrollment ID: I20200212000313

Medical Identifiers

Medical identifiers for Kassandra R Kostock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073158937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 6675-26 (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. Kassandra R Kostock allows following entities to bill medicare on her behalf.
Provider NameAthletico Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1821085028
PECOS PAC ID: 4789602681
Enrollment ID: O20100913000433

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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. Kassandra R Kostock 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
Kassandra R Kostock, MSOT
3301 W Forest Home Ave,
Milwaukee, WI 53215-2843

Ph: () -
Kassandra R Kostock, MSOT
700 Geneva Pkwy N Ste A,
Lake Geneva, WI 53147-4594

Ph: (262) 249-3505

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Occupational Therapist in Lake Geneva, WI

Ashley E. Boro, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N2950 State Road 67, Lake Geneva, WI 53147
Phone: 262-245-4990    Fax: 262-245-2248
Kim M. Cuculi, O.T.R.
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147
Phone: 262-248-9902    Fax: 262-248-9419
Mrs. Laurie Ann Romanowski, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 211 S Curtis St, Lake Geneva, WI 53147
Phone: 262-248-3145    
Diane E Killen, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N3219 County Road H, Lake Geneva, WI 53147
Phone: 262-815-8084    
Mrs. Emily Melissa Terry, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: Hwys. 50 And 67, N2950 State Rd. 67, Lake Geneva, WI 53147
Phone: 262-245-0535    
Malissa Roberts, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1070 S Lake Shore Dr, Unit 5-2a, Lake Geneva, WI 53147
Phone: 262-496-5477    

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