Heather E Certain, MD - Medicare Internal Medicine in Madison, WI

Heather E Certain, MD is a medicare enrolled "Internal Medicine" physician in Madison, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Meriter Hospital Inc and her current practice location is 202 So Park St, Meriter Hospital, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 417-6103.

Heather E Certain is licensed to practice in Wisconsin (license number 49386-20) 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 1104961465.

Contact Information

Heather E Certain, MD
202 So Park St, Meriter Hospital,
Madison, WI 53715
(608) 417-6103
(608) 417-5934

Map and Direction




Physician's Profile

Full NameHeather E Certain
GenderFemale
SpecialityInternal Medicine
Experience21 Years
Location202 So Park St, Madison, 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:
  • Heather E Certain attended and graduated from University Of Wisconsin School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1104961465
  • Provider Enumeration Date: 02/21/2007
  • Last Update Date: 07/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7911000179
  • Enrollment ID: I20070309000093

Medical Identifiers

Medical identifiers for Heather E Certain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104961465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 49386 (Wisconsin)Secondary
207R00000XInternal Medicine 49386-20 (Wisconsin)Primary
208M00000XHospitalist 49386-20 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meriter HospitalMadison, WIHospital
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Meriter Hospital Inc3971412735123

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 E Certain allows following entities to bill medicare on her behalf.
Entity NameMeriter Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548280225
PECOS PAC ID: 3971412735
Enrollment ID: O20031126000346

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 E Certain 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
Heather E Certain, MD
202 So Park St, Meriter Hospital,
Madison, WI 53715

Ph: (608) 417-6103
Heather E Certain, MD
202 So Park St, Meriter Hospital,
Madison, WI 53715

Ph: (608) 417-6103

Reviews and Comments


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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.