Dr Peter J Heath, DDS, MD is a
Oral & Maxillofacial Surgery based in Mishawaka, Indiana. Dr Peter J Heath is licensed to practice in Louisiana (license number 12434R) and his current practice location is
270 E Day Rd, Suite 260, Mishawaka, Indiana. He can be reached at his office (for appointments etc.) via phone at
(574) 272-8823.
NPI number for Dr Peter J Heath is 1396738746 and his current mailing address is 270 E Day Rd, Suite 260, Mishawaka, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396738746.
Healthcare Provider's Profile
| Full Name | Dr Peter J Heath |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 270 E Day Rd, Mishawaka, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396738746
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 09/29/2015
Medical Identifiers
Medical identifiers for Dr Peter J Heath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396738746 | NPI | - | NPPES |
| 01063978A | Other | IN | IN MEDICAL LICENSE |
| 200870900 | Medicaid | IN | |
| 2503 | Other | NH | DENTAL LICENSE (INACTIVE) |
| 9545 | Other | MD | DENTAL LICENSE |
| 12011044A | Other | IN | IN DENTAL LICENSE |
| 12434R | Other | LA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9545 (Maryland) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2503 (New Hampshire) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 12434R (Louisiana) | 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 Peter J Heath is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Peter J Heath, DDS, MD
270 E Day Rd, Suite 260,
Mishawaka, IN 46545-3444
Ph: (574) 272-8823 | Dr Peter J Heath, DDS, MD
270 E Day Rd, Suite 260,
Mishawaka, IN 46545-3444
Ph: (574) 272-8823 |
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