Heather Mechelle Cloum, MD - Medicare Family Practice in Elkhorn, WI

Heather Mechelle Cloum, MD is a medicare enrolled "Family Medicine" physician in Elkhorn, Wisconsin. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is W3985 County Road Nn, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 741-2121.

Heather Mechelle Cloum is licensed to practice in Wisconsin (license number 73987-20) 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 1154701076.

Contact Information

Heather Mechelle Cloum, MD
W3985 County Road Nn,
Elkhorn, WI 53121-4337
(262) 741-2121
Not Available

Map and Direction




Physician's Profile

Full NameHeather Mechelle Cloum
GenderFemale
SpecialityFamily Practice
Experience10 Years
LocationW3985 County Road Nn, Elkhorn, 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 Mechelle Cloum graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1154701076
  • Provider Enumeration Date: 06/05/2015
  • Last Update Date: 07/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406160456
  • Enrollment ID: I20210809002047

Medical Identifiers

Medical identifiers for Heather Mechelle Cloum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154701076NPI-NPPES
100138777MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 73987-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora At HomeWauwatosa, WIHospice
St Croix Hospice MadisonMadison, WIHospice
Aurora Lakeland Medical CenterElkhorn, WIHospital
Aurora Memorial Hospital BurlingtonBurlington, WIHospital
Lakeland Health Care CtrElkhorn, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

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 Mechelle Cloum allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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 Mechelle Cloum 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 Mechelle Cloum, MD
W3985 County Road Nn,
Elkhorn, WI 53121-4337

Ph: (262) 741-2121
Heather Mechelle Cloum, MD
W3985 County Road Nn,
Elkhorn, WI 53121-4337

Ph: (262) 741-2121

Reviews and Comments


Family Medicine Doctors in Elkhorn, WI

Benjamin R. Banks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-2000    
Dr. Michael S Hobbs, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 E Morrissey Dr, Elkhorn, WI 53121
Phone: 262-723-3100    
Fares W Sweis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 839 N Wisconsin St, Elkhorn, WI 53121
Phone: 262-741-1400    Fax: 262-741-1401
Dr. Edward E Carlson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 433 Oakland Ln, Elkhorn, WI 53121
Phone: 262-723-4455    
Lauren H Walsh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 126-274-1212    
Jeffrey D Tiemstra, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-2000    

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.