Dr. Heather E. Certain
- Gender: Female
- Experience: 18 years
- Graduated from: University Of Wisconsin School Of Medicine
- Graduation year: 2003
- Sole propriator: No
- NPI: 1104961465
Dr. Heather E. Certain MD
Hospitalist
She is located at 202 So Park Street Meriter Hospital in Madison, WI 53715. Can help patients with the following: Anemia, Chest Pain, Constipation, Headache, Hyponatremia, Migraine. Her National Provider Identifier (NPI) number is 1104961465. Appointment can be made via the phone number (608) 417-6103. She is affiliated with 2 hospitals.
Conditions treated
Dr. Heather E. Certain, being an hospitalist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Heather E. Certain.
- Abdominal Pain
- Acute Pain
- Anemia
- Arthritis
- Asthma
- Atherosclerosis
- Bladder Control
- Chest Pain
- Cholecystitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Constipation
- Cystitis
- Diarrhea
- Edema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Prescription Refill
- Urethritis
- Urinary Tract Infection (UTI)
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Heather E. Certain as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Group Health Cooperative-SCW
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 9 plans from Group Health Cooperative-SCW
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Partners HMO Bronze 10600 Ded/10600 MOOP HSA | HMO · Bronze | Partners HMO | Accepting new patients |
| Partners HMO Bronze 6000 Ded/10600 MOOP HSA | HMO · Bronze | Partners HMO | Accepting new patients |
| Partners HMO Bronze 7500 Ded/10000 MOOP HSA | HMO · Expanded Bronze | Partners HMO | Accepting new patients |
| Partners HMO Gold 1500 Ded/8000 MOOP with Vision | HMO · Gold | Partners HMO | Accepting new patients |
| Partners HMO Gold 2000 Ded/8200 MOOP | HMO · Gold | Partners HMO | Accepting new patients |
| Partners HMO Gold 4000 Ded/4000 MOOP HSA | HMO · Gold | Partners HMO | Accepting new patients |
| Partners HMO Silver 5500 Ded/8500 MOOP with Vision | HMO · Silver | Partners HMO | Accepting new patients |
| Partners HMO Silver 5975 Ded/5975 MOOP HSA | HMO · Silver | Partners HMO | Accepting new patients |
| Partners HMO Silver 6000 Ded/8900 MOOP | HMO · Silver | Partners HMO | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Heather E. Certain is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Heather E. Certain is enrolled to bill Medicare as a Practitioner - Internal Medicine .
Bills through: Meriter Hospital Inc
Based on Medicare's public enrollment records as of Sep 29, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Studies
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated in 2003Additional Specialities
- Internist
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Questions & Answers
What conditions does Dr. Heather E. Certain treat?
Dr. Heather E. Certain provides treatment for Anemia, Chest Pain, Constipation, Headache, Hyponatremia, Migraine. For the full list see this list.
Where can you meet with Dr. Heather E. Certain?
Dr. Heather E. Certain's office is located at 202 So Park Street Meriter Hospital in Madison, WI 53715.
Does Dr. Heather E. Certain accept insurance?
Dr. Heather E. Certain is listed in-network for 27 ACA Marketplace (Obamacare/HealthCare.gov) plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW. See the Marketplace plans section for details.
Has Dr. Heather E. Certain affiliation with hospitals?
Dr. Heather E. Certain is affiliated with MERITER HOSPITAL. For the full list of hospitals see this list.