Heidi Bailey, in Beaver Dam, WI - Medicare Nurse Practitioner

Heidi Bailey, is a medicare enrolled "Nurse Practitioner - Family" in Beaver Dam, Wisconsin. Her current practice location is 130 Corporate Dr, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-3102.

Heidi Bailey is licensed to practice in Wisconsin (license number 13234-33) 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 1114643756.

Contact Information

	Heidi Bailey,
	130 Corporate Dr, Beaver Dam, WI 53916-3116
	(920) 887-3102
	Not Available

Map and Direction

Provider's Profile

Full Name	Heidi Bailey
Gender	Female
Speciality	Nurse Practitioner - Family
Location	130 Corporate Dr, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114643756
Provider Enumeration Date: 10/17/2022
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9133596687
Enrollment ID: I20221114000565

Medical Identifiers

Medical identifiers for Heidi Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114643756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13234-33 (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. Heidi Bailey allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	Dean Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Heidi Bailey 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
Heidi Bailey, 130 Corporate Dr, Beaver Dam, WI 53916-3116 Ph: (920) 887-3102	Heidi Bailey, 130 Corporate Dr, Beaver Dam, WI 53916-3116 Ph: (920) 887-3102

Reviews and Comments

Nurse Practitioner Nurses in Beaver Dam, WI

Ellen Marie Vander Galien, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Warren St, Beaver Dam, WI 53916 Phone: 920-887-7692
Mrs. Cheryl Lea Butler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Park Ave Ste 1, Beaver Dam, WI 53916 Phone: 920-885-5225 Fax: 920-356-6419
Misty M Romero Rivera, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Warren St Ste 4, Beaver Dam, WI 53916 Phone: 608-915-0150 Fax: 608-203-1027
Judy A Macdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-356-1000
Lyndsey Christenson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-885-8790
Diane Marie Rundle, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 Stoddart St, Beaver Dam, WI 53916 Phone: 920-885-3528 Fax: 920-885-3662

Heidi Bailey, - Medicare Nurse Practitioner in Beaver Dam, WI