Krystin Nicole Hedeen, NP is a medicare enrolled "Nurse Practitioner" physician in Twin Falls, Idaho. Her current practice location is
801 Pole Line Rd W, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 814-4100.
Krystin Nicole Hedeen is licensed to practice in Idaho (license number 78499) 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 1164284691.
Physician's Profile
| Full Name | Krystin Nicole Hedeen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 801 Pole Line Rd W, Twin Falls, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164284691
- Provider Enumeration Date: 01/30/2024
- Last Update Date: 03/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133662380
- Enrollment ID: I20240617002411
Medical Identifiers
Medical identifiers for Krystin Nicole Hedeen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164284691 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 78499 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 78499 (Idaho) | 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. Krystin Nicole Hedeen allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899 |
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| Entity Name | Quicker Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821603382
PECOS PAC ID: 8022437599
Enrollment ID: O20201001002956 |
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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. Krystin Nicole Hedeen 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 |
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Krystin Nicole Hedeen, NP
190 E Bannock St,
Boise, ID 83712-6241
Ph: () - | Krystin Nicole Hedeen, NP
801 Pole Line Rd W,
Twin Falls, ID 83301-5810
Ph: (208) 814-4100 |
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