Erin Kooima, - Medicare Nurse Practitioner in Madison, WI

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Erin Kooima, is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Madison, Wisconsin. Her current practice location is 202 S Park St, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 417-6236.

Erin Kooima is licensed to practice in Wisconsin (license number 11917) 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 1013652130.

Contact Information

Erin Kooima,
202 S Park St,
Madison, WI 53715-1507
(608) 417-6236
(608) 417-6377

Map and Direction




Provider's Profile

Full NameErin Kooima
GenderFemale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location202 S Park St, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013652130
  • Provider Enumeration Date: 05/03/2022
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860871639
  • Enrollment ID: I20220624001416

Medical Identifiers

Medical identifiers for Erin Kooima such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013652130NPI-NPPES
1013652130MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0005XNurse Practitioner - Neonatal, Critical Care 11917 (Wisconsin)Primary
363LN0000XNurse Practitioner - Neonatal 11917 (Wisconsin)Secondary

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. Erin Kooima allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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. Erin Kooima 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
Erin Kooima,
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -		Erin Kooima,
202 S Park St,
Madison, WI 53715-1507

Ph: (608) 417-6236

Reviews and Comments


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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.