Charles J Heyka, MD - Medicare Family Practice in Oconto, WI

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Charles J Heyka, MD is a medicare enrolled "Family Medicine" physician in Oconto, Wisconsin. He went to Wayne State University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Oconto Hospital And Medical Center Inc and his current practice location is 820 Arbutus Ave, Oconto, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 835-1100.

Charles J Heyka is licensed to practice in Wisconsin (license number 49636-020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083721286.

Contact Information

Charles J Heyka, MD
820 Arbutus Ave,
Oconto, WI 54153-2004
(920) 835-1100
(920) 835-1099

Map and Direction




Physician's Profile

Full NameCharles J Heyka
GenderMale
SpecialityFamily Practice
Experience43 Years
Location820 Arbutus Ave, Oconto, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles J Heyka attended and graduated from Wayne State University School Of Medicine in 1981
  NPI Data:
  • NPI Number: 1083721286
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 09/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4284639451
  • Enrollment ID: I20060921000251

Medical Identifiers

Medical identifiers for Charles J Heyka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083721286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 49636-020 (Wisconsin)Secondary
207Q00000XFamily Medicine 49636-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bellin Health Oconto HospitalOconto, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oconto Hospital And Medical Center Inc2163461781193

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. Charles J Heyka allows following entities to bill medicare on his behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089
Entity NameOconto Hospital & Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356373302
PECOS PAC ID: 2163461781
Enrollment ID: O20050713000836

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. Charles J Heyka 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
Charles J Heyka, MD
Po Box 1866,
Green Bay, WI 54305-1866

Ph: (920) 445-7222		Charles J Heyka, MD
820 Arbutus Ave,
Oconto, WI 54153-2004

Ph: (920) 835-1100

Reviews and Comments


Family Medicine Doctors in Oconto, WI

John S Honish, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 Smith Ave, Oconto, WI 54153
Phone: 920-496-4700    Fax: 920-496-4705
Thomas J. Knutson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 103 1st St, Oconto, WI 54153
Phone: 920-835-1144    Fax: 920-835-1145
Dr. Elizabeth Joyce Russell, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 820 Arbutus Ave, Oconto, WI 54153
Phone: 920-835-1100    Fax: 920-835-1099

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.