Heather Kirkham, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in St Louis Park, Minnesota. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2019 and has 6 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Park Nicollet Clinic and her current practice location is
3931 Louisiana Ave S, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 993-3123.
Heather Kirkham is licensed to practice in * (Not Available) (license number ) 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 1093275471.
Physician's Profile
| Full Name | Heather Kirkham |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 6 Years |
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| Location | 3931 Louisiana Ave S, St Louis Park, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heather Kirkham attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2019
NPI Data:
- NPI Number: 1093275471
- Provider Enumeration Date: 03/22/2019
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557877024
- Enrollment ID: I20250722001195
Medical Identifiers
Medical identifiers for Heather Kirkham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093275471 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 79284 (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Park Nicollet Clinic | 7911819438 | 1611 |
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. Heather Kirkham 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 |
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Heather Kirkham,
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Heather Kirkham,
3931 Louisiana Ave S,
St Louis Park, MN 55426-5000
Ph: (952) 993-3123 |
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