Mr David J Heitman, LPC in Republic, MO - Medicare Counselor Provider

Mr David J Heitman, LPC is a medicare enrolled "Counselor - Professional" provider in Republic, Missouri. His current practice location is 612 E Elm St, Republic, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 761-5511.

Mr David J Heitman is licensed to practice in Missouri (license number 2023000446) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659622462.

Contact Information

	Mr David J Heitman, LPC
	612 E Elm St, Republic, MO 65738-1552
	(417) 761-5511
	(417) 761-5512

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David J Heitman
Gender	Male
Speciality	Counselor - Professional
Location	612 E Elm St, Republic, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659622462
Provider Enumeration Date: 09/20/2012
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9436509296
Enrollment ID: I20231220002582

Medical Identifiers

Medical identifiers for Mr David J Heitman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659622462	NPI	-	NPPES
11-R-22	Other	OR	CADC II

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	11-R-22 (Oregon)	Secondary
101YP2500X	Counselor - Professional	2023000446 (Missouri)	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. Mr David J Heitman allows following entities to bill medicare on his behalf.

Entity Name	Burrell, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372

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. Mr David J Heitman 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
Mr David J Heitman, LPC 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000	Mr David J Heitman, LPC 612 E Elm St, Republic, MO 65738-1552 Ph: (417) 761-5511

Reviews and Comments

Counselor in Republic, MO

Mrs. Kimberly Dawn Dolan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 N Hillside Ave, Republic, MO 65738 Phone: 417-402-5000
Jessica Lee Brockmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 172-481-7484 Fax: 417-200-2686
Mckay Knight Davis, MACL, LPC, CRADC Counselor Medicare: Medicare Enrolled Practice Location: 689 W Juan Tabo Ln, Republic, MO 65738 Phone: 417-838-7105
Hannah Laxton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 417-693-1891
Caleb Eggleston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 417-216-6189
Katherine E Gerwel, M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 283 Us Highway 60 W, Republic, MO 65738 Phone: 417-289-2942 Fax: 417-280-3369
Ida Piper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 642 E Woodland St, Republic, MO 65738 Phone: 417-425-5193

Mr David J Heitman, LPC - Medicare Counselor in Republic, MO