Stacey Kristine Heronema, DPT in Gunnison, CO - Medicare Physical Therapist Provider

Stacey Kristine Heronema, DPT is a medicare enrolled "Physical Therapist" provider in Gunnison, Colorado. Her current practice location is 718 N Main St Unit 18, Gunnison, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 641-7389.

Stacey Kristine Heronema is licensed to practice in Colorado (license number 0017056) 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 1871110882.

Contact Information

	Stacey Kristine Heronema, DPT
	718 N Main St Unit 18, Gunnison, CO 81230-2412
	(970) 641-7389
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Kristine Heronema
Gender	Female
Speciality	Physical Therapist
Location	718 N Main St Unit 18, Gunnison, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871110882
Provider Enumeration Date: 06/26/2020
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0042633919
Enrollment ID: I20200710000913

Medical Identifiers

Medical identifiers for Stacey Kristine Heronema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871110882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	0017056 (Colorado)	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. Stacey Kristine Heronema allows following entities to bill medicare on her behalf.

Provider Name	Heights Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225392871 PECOS PAC ID: 4880842939 Enrollment ID: O20120913000643

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. Stacey Kristine Heronema 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
Stacey Kristine Heronema, DPT 3776 Palisade Dr, Boulder, CO 80301-3705 Ph: (303) 548-7151	Stacey Kristine Heronema, DPT 718 N Main St Unit 18, Gunnison, CO 81230-2412 Ph: (970) 641-7389

Reviews and Comments

Physical Therapist in Gunnison, CO

Emily Parsons Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1613 W Tomichi Ave, Gunnison, CO 81230 Phone: 573-999-3929
Emilie Whittemore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 N Main St, Gunnison, CO 81230 Phone: 970-433-2054
Taren Frazier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 718 N Main St, Gunnison, CO 81230 Phone: 970-641-7389 Fax: 970-641-7369
Ms. Elisabeth Dillon Laux Folkerth, MSPT, CPI, CSD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 322 N Iowa St, Gunnison, CO 81230 Phone: 970-641-2118
Kaylynne B. Ezzell, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 718 N Main St, Unit # 18, Gunnison, CO 81230 Phone: 970-641-3298 Fax: 970-641-7369
Elk Mountain Therapy Associates, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 322 N Main St, Gunnison, CO 81230 Phone: 970-641-2001 Fax: 970-641-4596
Timothy Raymond Poppe, M.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 112 W Spencer Ave, Gunnison, CO 81230 Phone: 970-641-2266 Fax: 970-641-0334

Stacey Kristine Heronema, DPT - Medicare Physical Therapist in Gunnison, CO