Travis Heipp, in Madison, WI - Medicare Counselor Provider

Travis Heipp, is a medicare enrolled "Counselor - Professional" provider in Madison, Wisconsin. His current practice location is 1001 Fourier Dr Ste 200, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 740-2001.

Travis Heipp is licensed to practice in Wisconsin (license number 1265) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972152361.

Contact Information

	Travis Heipp,
	1001 Fourier Dr Ste 200, Madison, WI 53717-1958
	(608) 740-2001
	(608) 740-2002

Map and Direction

Healthcare Provider's Profile

Full Name	Travis Heipp
Gender	Male
Speciality	Counselor - Professional
Location	1001 Fourier Dr Ste 200, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972152361
Provider Enumeration Date: 09/09/2019
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1456703685
Enrollment ID: I20240123003444

Medical Identifiers

Medical identifiers for Travis Heipp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972152361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1265 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	1265 (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. Travis Heipp allows following entities to bill medicare on his behalf.

Entity Name	Abg Wellness Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340

Entity Name	Nystrom & Associates Counseling Wi Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171

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. Travis Heipp 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
Travis Heipp, 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: () -	Travis Heipp, 1001 Fourier Dr Ste 200, Madison, WI 53717-1958 Ph: (608) 740-2001

Reviews and Comments

Counselor in Madison, WI

Maureen T Marshall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6510 Grand Teton Plaza, Ste 406, Madison, WI 53719 Phone: 608-833-9290 Fax: 608-833-9290
Jessica Marie Gutierrez, LCSW, CSAC, ICS Counselor Medicare: Medicare Enrolled Practice Location: 2101 Linden Ave Apt 2, Madison, WI 53704 Phone: 608-466-6560
Amanda Henn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 W Washington Ave, Madison, WI 53703 Phone: 608-280-2700
Lance P Armstrong, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Kessel Ct, Ste 200, Madison, WI 53711 Phone: 608-278-8200 Fax: 608-278-8204
Ms. Katherine Mary Delchambre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5310 Wall Street, Ste. 500, Madison, WI 53718 Phone: 608-274-8294 Fax: 608-274-8783
Michael Walmer, M.S., LPC-T/SUD, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 W Washington Ave, Madison, WI 53703 Phone: 608-280-2700
Christina Murphy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 559 Zor Shrine Pl, Madison, WI 53719 Phone: 608-833-0123

Travis Heipp, - Medicare Counselor in Madison, WI