Sally K Powell, OT in Weston, WI - Medicare Occupational Therapist Provider

Sally K Powell, OT is a medicare enrolled "Occupational Therapist" provider in Weston, Wisconsin. Her current practice location is 3402 Howland Ave, Suite 100, Weston, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 355-5701.

Sally K Powell is licensed to practice in Wisconsin (license number 2418-026) 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 1164530945.

Contact Information

	Sally K Powell, OT
	3402 Howland Ave, Suite 100, Weston, WI 54476-5633
	(715) 355-5701
	Not Available

Healthcare Provider's Profile

Full Name	Sally K Powell
Gender	Female
Speciality	Occupational Therapist
Location	3402 Howland Ave, Weston, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164530945
Provider Enumeration Date: 08/29/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8820042666
Enrollment ID: I20050304000349

Medical Identifiers

Medical identifiers for Sally K Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164530945	NPI	-	NPPES
40885800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2418-026 (Wisconsin)	Primary

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. Sally K Powell 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
Sally K Powell, OT 3000 Westhill Dr, Suite 303, Wausau, WI 54401-3795 Ph: () -	Sally K Powell, OT 3402 Howland Ave, Suite 100, Weston, WI 54476-5633 Ph: (715) 355-5701

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Andrew J Weizenicker, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3990
Jennifer Stieber, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3402 Howland Ave # 100, Weston, WI 54476 Phone: 715-355-5701
Ms. Carina Lea Hafner, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3990 Fax: 715-393-3902

Sally K Powell, OT - Medicare Occupational Therapist in Weston, WI