Mrs Heidi Ann Butler, MSW, LCSW, CSAC - Medicare Counselor in Plymouth, WI

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Mrs Heidi Ann Butler, MSW, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Plymouth, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and her current practice location is 825 Walton Dr, Plymouth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Mrs Heidi Ann Butler is licensed to practice in Wisconsin (license number 6868-123) 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 1821136300.

Contact Information

Mrs Heidi Ann Butler, MSW, LCSW, CSAC
825 Walton Dr,
Plymouth, WI 53073-5022
(920) 496-4700
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Heidi Ann Butler
GenderFemale
SpecialityClinical Social Worker
Experience27 Years
Location825 Walton Dr, Plymouth, Wisconsin
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 Heidi Ann Butler attended and graduated from University Of Wisconsin School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1821136300
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 02/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092818930
  • Enrollment ID: I20070313000513

Medical Identifiers

Medical identifiers for Mrs Heidi Ann Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821136300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6868-123 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 6868-123 (Wisconsin)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 12079-131 (Wisconsin)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Nicholas Hospital-sisters Of The Third Order Of St Francis8325931652151

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 Heidi Ann Butler allows following entities to bill medicare on her behalf.
Entity NameCornerstone Counseling Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

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 Heidi Ann Butler 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 Heidi Ann Butler, MSW, LCSW, CSAC
825 Walton Dr,
Plymouth, WI 53073-5022

Ph: (920) 892-4322		Mrs Heidi Ann Butler, MSW, LCSW, CSAC
825 Walton Dr,
Plymouth, WI 53073-5022

Ph: (920) 496-4700

Reviews and Comments


Social Worker in Plymouth, WI


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.