Kari A Hegeman, MD - Medicare Pediatrics in Madison, WI

Kari A Hegeman, MD is a medicare enrolled "Pediatrics" physician in Madison, Wisconsin. Her current practice location is 752 N High Point Rd, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 824-4000.

Kari A Hegeman is licensed to practice in Wisconsin (license number 49524) 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 1861698201.

Contact Information

Kari A Hegeman, MD
752 N High Point Rd,
Madison, WI 53717-2236
(608) 824-4000
(608) 824-4929

Map and Direction




Physician's Profile

Full NameKari A Hegeman
GenderFemale
SpecialityPediatrics
Location752 N High Point Rd, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861698201
  • Provider Enumeration Date: 06/22/2007
  • Last Update Date: 11/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9234239542
  • Enrollment ID: I20070714000230

Medical Identifiers

Medical identifiers for Kari A Hegeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861698201NPI-NPPES
1861698201MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 49524 (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. Kari A Hegeman allows following entities to bill medicare on her behalf.
Entity NameDean Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584

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. Kari A Hegeman 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
Kari A Hegeman, MD
752 N High Point Rd,
Madison, WI 53717-2236

Ph: (608) 824-4000
Kari A Hegeman, MD
752 N High Point Rd,
Madison, WI 53717-2236

Ph: (608) 824-4000

Reviews and Comments


Pediatrics Doctors in Madison, WI

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Michael W Ritter, MD
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Phone: 608-831-1528    
Dr. Jesse Roach, M.D.
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Phone: 608-263-6420    
Norris Glick, MD
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Phone: 608-301-1791    

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.

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