Mrs Marie-paule Simone Heylen, ANP-C - Medicare Nurse Practitioner in Potsdam, NY

Mrs Marie-paule Simone Heylen, ANP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Potsdam, New York. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Garumuni Anura Desilva, Md Pc, Impact Health P.c. and her current practice location is 6805 Us Highway 11, Potsdam, New York. You can reach out to her office (for appointments etc.) via phone at (315) 265-3105.

Mrs Marie-paule Simone Heylen is licensed to practice in New York (license number F306058-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891042644.

Contact Information

Mrs Marie-paule Simone Heylen, ANP-C
6805 Us Highway 11,
Potsdam, NY 13676-3131
(315) 265-3105
(315) 265-0323

Map and Direction




Provider's Profile

Full NameMrs Marie-paule Simone Heylen
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location6805 Us Highway 11, Potsdam, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Marie-paule Simone Heylen graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1891042644
  • Provider Enumeration Date: 08/11/2012
  • Last Update Date: 02/06/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5698925253
  • Enrollment ID: I20121017000607

Medical Identifiers

Medical identifiers for Mrs Marie-paule Simone Heylen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891042644NPI-NPPES
03497023MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F306058-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Garumuni Anura Desilva, Md Pc46880565349
Impact Health P.c.094156266441

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. Mrs Marie-paule Simone Heylen allows following entities to bill medicare on her behalf.
Entity NameHospice Of St Lawrence Valley Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497758080
PECOS PAC ID: 0840204574
Enrollment ID: O20140903001875
Entity NameGarumuni Anura Desilva, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427793629
PECOS PAC ID: 4688056534
Enrollment ID: O20220809002269

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. Mrs Marie-paule Simone Heylen 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
Mrs Marie-paule Simone Heylen, ANP-C
6805 Us Highway 11,
Potsdam, NY 13676-3131

Ph: (315) 265-3105
Mrs Marie-paule Simone Heylen, ANP-C
6805 Us Highway 11,
Potsdam, NY 13676-3131

Ph: (315) 265-3105

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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