Heather Marie Stickle, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Granger, Washington. Her current practice location is
115 Sunnyside Ave, Suite A, Granger, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 865-6450.
Heather Marie Stickle is licensed to practice in Alaska (license number 174080) 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 1518235001.
Provider's Profile
| Full Name | Heather Marie Stickle |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 115 Sunnyside Ave, Granger, Washington |
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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: 1518235001
- Provider Enumeration Date: 12/12/2011
- Last Update Date: 08/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456597038
- Enrollment ID: I20160321000724
Medical Identifiers
Medical identifiers for Heather Marie Stickle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518235001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP60616028 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | 202102266NP-PP (Oregon) | Secondary |
| 363L00000X | Nurse Practitioner | RN60614561 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 100990 (Montana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F336769 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 174080 (Alaska) | 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. Heather Marie Stickle allows following entities to bill medicare on her behalf.
| Entity Name | Yakima Valley Farm Workers Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
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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. Heather Marie Stickle 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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Heather Marie Stickle, ARNP
Po Box 5188,
Portland, OR 97208-5188
Ph: (888) 227-3312 | Heather Marie Stickle, ARNP
115 Sunnyside Ave, Suite A,
Granger, WA 98932
Ph: (509) 865-6450 |
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