Dr Kenneth R Heise, DDS is a medicare enrolled "Dentist" provider in Elysburg, Pennsylvania. His current practice location is
11 N Market St, Elysburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 672-9692.
Dr Kenneth R Heise is licensed to practice in Pennsylvania (license number DS023434L) 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 1003905845.
Healthcare Provider's Profile
Full Name | Dr Kenneth R Heise |
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Gender | Male |
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Speciality | Dentist |
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Location | 11 N Market St, Elysburg, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003905845
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8628389848
- Enrollment ID: I20150615001667
Medical Identifiers
Medical identifiers for Dr Kenneth R Heise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003905845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS023434L (Pennsylvania) | Primary |
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. Dr Kenneth R Heise 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 |
Dr Kenneth R Heise, DDS 11 N Market St, Elysburg, PA 17824 Ph: (570) 672-9692 | Dr Kenneth R Heise, DDS 11 N Market St, Elysburg, PA 17824 Ph: (570) 672-9692 |
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