Kaylea Hope Heideman, RD is a medicare enrolled "Dietitian, Registered" provider in Watseka, Illinois. Her current practice location is
200 E Fairman Ave, Watseka, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 432-5841.
Kaylea Hope Heideman is licensed to practice in * (Not Available) (license number ) 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 1073105763.
Healthcare Provider's Profile
| Full Name | Kaylea Hope Heideman |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 200 E Fairman Ave, Watseka, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073105763
- Provider Enumeration Date: 02/04/2021
- Last Update Date: 02/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951703222
- Enrollment ID: I20210708002294
Medical Identifiers
Medical identifiers for Kaylea Hope Heideman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073105763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Kaylea Hope Heideman allows following entities to bill medicare on her behalf.
| Provider Name | Iroquois Memorial Hospital And Resident Home |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1629003470
PECOS PAC ID: 4385551258
Enrollment ID: O20040517000306 |
|---|
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. Kaylea Hope Heideman 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 |
|---|
Kaylea Hope Heideman, RD
200 E Fairman Ave,
Watseka, IL 60970-1644
Ph: (815) 432-8541 | Kaylea Hope Heideman, RD
200 E Fairman Ave,
Watseka, IL 60970-1644
Ph: (815) 432-5841 |
Reviews and Comments