Loretta A Higgins, NP - Medicare Nurse Practitioner in Dover, DE

Loretta A Higgins, NP is a medicare enrolled "Nurse Practitioner" in Dover, Delaware. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bayhealth Medical Center, Inc and her current practice location is 530 S State St Ste 107, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 608-5299.

Loretta A Higgins is licensed to practice in Delaware (license number LD-0000109) 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 1205839842.

Contact Information

Loretta A Higgins, NP
530 S State St Ste 107,
Dover, DE 19901-3562
(302) 608-5299
(302) 608-3885

Map and Direction




Provider's Profile

Full NameLoretta A Higgins
GenderFemale
SpecialityNurse Practitioner
Experience29 Years
Location530 S State St Ste 107, Dover, Delaware
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:
  • Loretta A Higgins graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1205839842
  • Provider Enumeration Date: 05/27/2005
  • Last Update Date: 09/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426952086
  • Enrollment ID: I20031125000214

Medical Identifiers

Medical identifiers for Loretta A Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205839842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner LD-0000109 (Delaware)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayhealth Hospital, Sussex CampusMilford, DEHospital
Bayhealth Hospital, Kent CampusDover, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bayhealth Medical Center, Inc1658364740308

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. Loretta A Higgins allows following entities to bill medicare on her behalf.
Entity NameDelaware Hospice, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821361072
PECOS PAC ID: 8921101395
Enrollment ID: O20120518000239
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1467546135
PECOS PAC ID: 1658364740
Enrollment ID: O20160516002240
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1295292183
PECOS PAC ID: 1658364740
Enrollment ID: O20190709002749
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1104383041
PECOS PAC ID: 1658364740
Enrollment ID: O20190715002105
Entity NameBayhealth Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1023006434
PECOS PAC ID: 1658364740
Enrollment ID: O20210218000840

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. Loretta A Higgins 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
Loretta A Higgins, NP
640 S State St, Mail Code 3055,
Dover, DE 19901-3530

Ph: (302) 480-1688
Loretta A Higgins, NP
530 S State St Ste 107,
Dover, DE 19901-3562

Ph: (302) 608-5299

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.