Theresa Anne Hegge, MD - Medicare Plastic And Reconstructive Surgery in Bismarck, ND

Theresa Anne Hegge, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Bismarck, North Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Sanford Bismarck and her current practice location is 222 N 7th St, 300 N 7th St, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 323-5301.

Theresa Anne Hegge is licensed to practice in North Dakota (license number 12751) 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 1124280649.

Contact Information

Theresa Anne Hegge, MD
222 N 7th St, 300 N 7th St,
Bismarck, ND 58501
(701) 323-5301
(701) 323-5886

Map and Direction




Physician's Profile

Full NameTheresa Anne Hegge
GenderFemale
SpecialityPlastic And Reconstructive Surgery
Experience16 Years
Location222 N 7th St, Bismarck, North Dakota
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:
  • Theresa Anne Hegge attended and graduated from University Of North Dakota School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1124280649
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577702570
  • Enrollment ID: I20140721002013

Medical Identifiers

Medical identifiers for Theresa Anne Hegge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124280649NPI-NPPES
1461056MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 12751 (North Dakota)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery 12751 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center BismarckBismarck, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Bismarck9739098575457

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. Theresa Anne Hegge allows following entities to bill medicare on her behalf.
Entity NameSanford Bismarck
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811941172
PECOS PAC ID: 9739098575
Enrollment ID: O20031105000403
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336

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. Theresa Anne Hegge 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
Theresa Anne Hegge, MD
222 N 7th St, 300 N 7th St,
Bismarck, ND 58501

Ph: (701) 323-5301
Theresa Anne Hegge, MD
222 N 7th St, 300 N 7th St,
Bismarck, ND 58501

Ph: (701) 323-5301

Reviews and Comments


Surgery Doctors in Bismarck, ND

Dr. Joshua John Knudson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-5422    
Michael Brandon Huck, M.D.
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Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-5383    
Dr. Steven K Hamar, MD
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Practice Location: 401 N 9th St, Bismarck, ND 58501
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Dr. William E Altringer, MD
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Practice Location: 401 N 9th St, Bismarck, ND 58501
Phone: 701-530-6000    Fax: 701-530-6430
D'arcy Adaire Honeycutt, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 810 E Rosser Ave, Suite 303, Bismarck, ND 58501
Phone: 701-530-8450    Fax: 701-530-8457
Dr. George H Hilts Iii, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 200 S 5th St, Bismarck, ND 58504
Phone: 701-222-3937    Fax: 701-222-8805
Josephat Gichuhi Ngatia, M.D
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Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    

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.