Mrs Maryjo Leigh Heise, APNP in Green Bay, WI

Mrs Maryjo Leigh Heise, APNP is a medicare enrolled "Nurse Practitioner - Family" in Green Bay, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc and her current practice location is 720 S Vanburen St, Suite201, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 433-7488.

Mrs Maryjo Leigh Heise is licensed to practice in Wisconsin (license number 5010-33) 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 1689790461.

Contact Information

	Mrs Maryjo Leigh Heise, APNP
	720 S Vanburen St, Suite201, Green Bay, WI 54301-3534
	(920) 433-7488
	(920) 433-7439

Map and Direction

Provider's Profile

Full Name	Mrs Maryjo Leigh Heise
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	720 S Vanburen St, Green Bay, Wisconsin
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 Maryjo Leigh Heise graduated from nursing school in 2012

NPI Data:

NPI Number: 1689790461
Provider Enumeration Date: 03/22/2007
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3870743396
Enrollment ID: I20121018000493

Medical Identifiers

Medical identifiers for Mrs Maryjo Leigh Heise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689790461	NPI	-	NPPES
F0812139	Other		AMERICAN ACADEMY OF NURSE PRACTITIONERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	135351-030 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	5010-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bellin Memorial Hospital	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oconto Hospital And Medical Center Inc	2163461781	193
Bellin Memorial Hospital Inc	8820900749	533

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 Maryjo Leigh Heise allows following entities to bill medicare on her behalf.

Entity Name	Bellin Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

Entity Name	Oconto Hospital & Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836

Entity Name	Oconto Hospital & Medical Center Inc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1881129351 PECOS PAC ID: 2163461781 Enrollment ID: O20170621001516

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 Maryjo Leigh Heise 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 Maryjo Leigh Heise, APNP Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222	Mrs Maryjo Leigh Heise, APNP 720 S Vanburen St, Suite201, Green Bay, WI 54301-3534 Ph: (920) 433-7488

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301

Mrs Maryjo Leigh Heise, APNP - Medicare Nurse Practitioner in Green Bay, WI