Kelly Beth Heidle, DO in Kenosha, WI

Kelly Beth Heidle, DO is a medicare enrolled "Internal Medicine" physician in Kenosha, Wisconsin. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2013 and has 11 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Vituity-wisconsin Hm Sc and her current practice location is 6308 8th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 290-6720.

Kelly Beth Heidle is licensed to practice in Wisconsin (license number 67122-21) 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 1992044846.

Contact Information

	Kelly Beth Heidle, DO
	6308 8th Ave, Kenosha, WI 53143-5031
	(414) 290-6720
	(414) 290-6755

Map and Direction

Physician's Profile

Full Name	Kelly Beth Heidle
Gender	Female
Speciality	Hospitalist
Experience	11 Years
Location	6308 8th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Beth Heidle attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2013

NPI Data:

NPI Number: 1992044846
Provider Enumeration Date: 02/12/2013
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 2860783511
Enrollment ID: I20170901000446

Medical Identifiers

Medical identifiers for Kelly Beth Heidle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992044846	NPI	-	NPPES
0182229	Other	PA	OHIO MEDICAID
1031239290001	Medicaid	PA
003403181	Other	PA	HIGHMARK BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	67122-21 (Wisconsin)	Primary
207R00000X	Internal Medicine	OS018162 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Hospital System	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vituity-wisconsin Hm Sc	4880056126	22

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. Kelly Beth Heidle allows following entities to bill medicare on her behalf.

Entity Name	Vituity-wisconsin Hm Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679265912 PECOS PAC ID: 4880056126 Enrollment ID: O20230817002412

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. Kelly Beth Heidle 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
Kelly Beth Heidle, DO 111 E Wisconsin Ave Ste 2000, Milwaukee, WI 53202-4809 Ph: (414) 290-6720	Kelly Beth Heidle, DO 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (414) 290-6720

Reviews and Comments

Internal Medicine Doctors in Kenosha, WI

Hanna Mariani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715
Leilane U Sta Romana, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751
Raymond W Knight, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Dr. Rodrigo Buencamino Mata Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710
Michael H Zeihen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Zebi Fatima, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600
Timothy A. Sanborn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672

Kelly Beth Heidle, DO - Medicare Hospitalist in Kenosha, WI