Bernard F Heilman, MD - Medicare Family Medicine in Madison, SD

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Bernard F Heilman, MD is a medicare enrolled "Family Medicine" physician in Madison, South Dakota. His current practice location is 323 Sw 10th St, Madison, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 256-6551.

Bernard F Heilman is licensed to practice in South Dakota (license number 1349) 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 1538227541.

Contact Information

Bernard F Heilman, MD
323 Sw 10th St,
Madison, SD 57042-3200
(605) 256-6551
(605) 256-6469

Map and Direction




Physician's Profile

Full NameBernard F Heilman
GenderMale
SpecialityFamily Medicine
Location323 Sw 10th St, Madison, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538227541
  • Provider Enumeration Date: 12/04/2006
  • Last Update Date: 02/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244419489
  • Enrollment ID: I20110120001237

Medical Identifiers

Medical identifiers for Bernard F Heilman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538227541NPI-NPPES
15092OtherSDMIDLAND
01-20637OtherSDMEDICA
1349OtherSDDAKOTA CARE
0005278OtherSDWELLMARK BLUE CROSS/BS
0120637OtherSDUNITED HEALTH CARE
1930OtherSDAVERA HEALTH PLANS
5602622OtherSDOTHER INSURANCE
20590OtherSDSIOUX VALLEY HEALTH
5602622MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1349 (South Dakota)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. Bernard F Heilman allows following entities to bill medicare on his behalf.
Entity NameMadison Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20040423000982

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. Bernard F Heilman 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 AddressPractice Location Address
Bernard F Heilman, MD
323 Sw 10th St,
Madison, SD 57042-3200

Ph: (605) 256-6551		Bernard F Heilman, MD
323 Sw 10th St,
Madison, SD 57042-3200

Ph: (605) 256-6551

Reviews and Comments


Family Medicine Doctors in Madison, SD

Dr. Justin A Clem, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 10th St Sw, Madison, SD 57042
Phone: 605-256-6551    Fax: 605-255-6409
Ben Liscano, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    Fax: 605-256-6469
Mary W Beecher, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    Fax: 605-256-6469
Laura Hoefert, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    
Mr. Ryan Buse, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6551    Fax: 605-256-6469
Dr. Laurel J Jennings Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 Sw 10th St, Madison, SD 57042
Phone: 605-256-6951    Fax: 605-256-6953

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.