Mrs Kathleen M Heitkamp, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Maria Stein, Ohio. She went to Vanderbilt University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jtdm Family Practice Llc, Mount Carmel Healthproviders Inc and her current practice location is
8381 State Route 119, Maria Stein, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 925-4613.
Mrs Kathleen M Heitkamp is licensed to practice in Ohio (license number APRN.CNP.021992) 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 1154837136.
Provider's Profile
Full Name | Mrs Kathleen M Heitkamp |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 8 Years |
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Location | 8381 State Route 119, Maria Stein, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kathleen M Heitkamp attended and graduated from Vanderbilt University School Of Medicine in 2017
NPI Data:
- NPI Number: 1154837136
- Provider Enumeration Date: 12/28/2017
- Last Update Date: 04/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587923404
- Enrollment ID: I20180122001310
Medical Identifiers
Medical identifiers for Mrs Kathleen M Heitkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154837136 | NPI | - | NPPES |
0257080 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN.427848 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.021992 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jtdm Family Practice Llc | 2163415837 | 42 |
Mount Carmel Healthproviders Inc | 9537073804 | 134 |
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. Mrs Kathleen M Heitkamp allows following entities to bill medicare on her behalf.
Entity Name | Mount Carmel Healthproviders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356384143 PECOS PAC ID: 9537073804 Enrollment ID: O20031119000634 |
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Entity Name | Jtdm Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
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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. Mrs Kathleen M Heitkamp 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 |
Mrs Kathleen M Heitkamp, FNP-C 1140 S Knoxville Ave Ste D, Saint Marys, OH 45885-2609 Ph: (419) 300-1129 | Mrs Kathleen M Heitkamp, FNP-C 8381 State Route 119, Maria Stein, OH 45860-9701 Ph: (419) 925-4613 |
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