Mr John Joseph Hederman, DDS in Port Arthur, TX

Mr John Joseph Hederman, DDS is a medicare enrolled "Dentist - General Practice" provider in Port Arthur, Texas. His current practice location is 2548 Memorial Blvd, Port Arthur, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 983-1161.

Mr John Joseph Hederman is licensed to practice in Texas (license number 14309) 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 1588662712.

Contact Information

	Mr John Joseph Hederman, DDS
	2548 Memorial Blvd, Port Arthur, TX 77640-2825
	(409) 983-1161
	(409) 983-4933

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Joseph Hederman
Gender	Male
Speciality	Dentist - General Practice
Location	2548 Memorial Blvd, Port Arthur, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588662712
Provider Enumeration Date: 07/12/2005
Last Update Date: 08/03/2011

Medicare PECOS Information:

PECOS PAC ID: 4789762071
Enrollment ID: I20150420001622

Medical Identifiers

Medical identifiers for Mr John Joseph Hederman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588662712	NPI	-	NPPES
126826002	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	14309 (Texas)	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 John Joseph Hederman allows following entities to bill medicare on his behalf.

Entity Name	Gulf Coast Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912904897 PECOS PAC ID: 5597675215 Enrollment ID: O20040105000446

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 John Joseph Hederman 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 John Joseph Hederman, DDS 2548 Memorial Blvd, Port Arthur, TX 77640-2825 Ph: (409) 983-1161	Mr John Joseph Hederman, DDS 2548 Memorial Blvd, Port Arthur, TX 77640-2825 Ph: (409) 983-1161

Reviews and Comments

Dentist in Port Arthur, TX

Dr. Madison Paige Fuston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3140 Central Mall Dr, Port Arthur, TX 77642 Phone: 409-727-2164
Dr. Maherin Momin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8035 Memorial Blvd, Port Arthur, TX 77640 Phone: 409-356-9011
Dalia Aldin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2780 Highway 365, Port Arthur, TX 77640 Phone: 409-332-4701
Roya Wood-scott, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7860 9th Ave, Port Arthur, TX 77642 Phone: 409-724-6387
Dr. Angel Ivan Rivera, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2780 Highway 365 Ste C, Port Arthur, TX 77640 Phone: 409-332-4701
Dr. Barry Joe Robertson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3707 N Twin City Hwy, Port Arthur, TX 77642 Phone: 409-962-9391 Fax: 409-962-3932
Neeva Himanshubhai Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4997 N Twin City Hwy, Port Arthur, TX 77642 Phone: 409-548-0685

Mr John Joseph Hederman, DDS - Medicare Dentist in Port Arthur, TX