Shaun M Hiemstra, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Ravenna, Nebraska. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Family Physical Therapy And Sports Center and her current practice location is
321 Grand Ave, Ravenna, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 452-7154.
Shaun M Hiemstra is licensed to practice in Nebraska (license number 887) 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 1013123942.
Healthcare Provider's Profile
Full Name | Shaun M Hiemstra |
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Gender | Female |
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Speciality | Qualified Speech Language Pathologist |
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Experience | 26 Years |
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Location | 321 Grand Ave, Ravenna, Nebraska |
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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:
- Shaun M Hiemstra graduated from medical school in 1998
NPI Data:
- NPI Number: 1013123942
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567514193
- Enrollment ID: I20090713000548
Medical Identifiers
Medical identifiers for Shaun M Hiemstra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013123942 | NPI | - | NPPES |
06587 | Other | NE | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 887 (Nebraska) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Family Physical Therapy And Sports Center | 7214970177 | 33 |
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. Shaun M Hiemstra allows following entities to bill medicare on her behalf.
Provider Name | Family Physical Therapy & Sports Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1356373658 PECOS PAC ID: 7214970177 Enrollment ID: O20050602000441 |
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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. Shaun M Hiemstra 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 |
Shaun M Hiemstra, MS, CCC-SLP 321 Grand Ave, Ravenna, NE 68869-1321 Ph: (308) 452-7154 | Shaun M Hiemstra, MS, CCC-SLP 321 Grand Ave, Ravenna, NE 68869-1321 Ph: (308) 452-7154 |
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