Heather Kekow, APSW is a medicare enrolled "Social Worker - Clinical" provider in Wautoma, Wisconsin. Her current practice location is
400 S Townline Rd, Wautoma, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 787-5514.
Heather Kekow is licensed to practice in Wisconsin (license number 131833-121) 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 1841919313.
Healthcare Provider's Profile
Full Name | Heather Kekow |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 400 S Townline Rd, Wautoma, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841919313
- Provider Enumeration Date: 08/26/2022
- Last Update Date: 09/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880040542
- Enrollment ID: I20231101000977
Medical Identifiers
Medical identifiers for Heather Kekow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841919313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 19464 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 131833-121 (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. Heather Kekow allows following entities to bill medicare on her behalf.
Entity Name | La Clinica De Los Campesinos Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
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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. Heather Kekow 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 |
Heather Kekow, APSW 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514 | Heather Kekow, APSW 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514 |
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