Individual ProviderCallie HeiligNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2100 State Ave, Panama City, FL 32405-4587(251) 605-2135(850) 763-0036PECOS EnrollmentBased on the most recent information from CMS, provider Callie Heilig is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1952792459Provider TypeIndividualFull NameHeilig, CallieCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date2/5/2015Last Updated4/13/2023Contact InformationPractice LocationPractice Address2100 State Ave, Panama City, FL 32405-4587Phone(251) 605-2135FaxUnlisted FaxMailing LocationMailing Address2100 State Ave, Panama City, FL 32405-4587Phone(850) 763-0036FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11018308FloridaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense77226KansasCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense77226KansasProvider IdentifiersIDDescriptionIssuerID114812200DescriptionMedicaidIssuerUnlistedFlorida