Claudia Winograd Heise, MD PHD - Medicare Family Practice in Scarborough, ME

Claudia Winograd Heise, MD PHD is a medicare enrolled "Family Medicine" physician in Scarborough, Maine. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Whole Medicine Llc and her current practice location is 20 Mussey Rd, Ste 2, Scarborough, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 535-1880.

Claudia Winograd Heise is licensed to practice in Maine (license number MD21296) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649616319.

Contact Information

Claudia Winograd Heise, MD PHD
20 Mussey Rd, Ste 2,
Scarborough, ME 04074-9570
(207) 535-1880
Not Available

Map and Direction




Physician's Profile

Full NameClaudia Winograd Heise
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location20 Mussey Rd, Scarborough, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Claudia Winograd Heise graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1649616319
  • Provider Enumeration Date: 05/21/2013
  • Last Update Date: 06/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385874973
  • Enrollment ID: I20161018001981

Medical Identifiers

Medical identifiers for Claudia Winograd Heise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649616319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD21296 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Light Mercy HospitalPortland, MEHospital
Southern Maine Health CareBiddeford, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Whole Medicine Llc68002069962

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. Claudia Winograd Heise allows following entities to bill medicare on her behalf.
Entity NameWhole Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508475724
PECOS PAC ID: 6800206996
Enrollment ID: O20201030000934

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. Claudia Winograd 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 AddressPractice Location Address
Claudia Winograd Heise, MD PHD
20 Mussey Rd Ste 2,
Scarborough, ME 04074-9570

Ph: (207) 885-1333
Claudia Winograd Heise, MD PHD
20 Mussey Rd, Ste 2,
Scarborough, ME 04074-9570

Ph: (207) 535-1880

Reviews and Comments


Family Medicine Doctors in Scarborough, ME

Mr. Gavin M Ducker, MD
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Practice Location: 300 Professional Dr Ste 2c, Scarborough, ME 04074
Phone: 207-883-7926    
Mrs. Kristyn Michelle Kee, FNP-C
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Practice Location: 96 Campus Dr, Scarborough, ME 04074
Phone: 603-303-0108    
Kristen Alyse Scopaz, MD
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Practice Location: 20 Mussey Rd, Scarborough, ME 04074
Phone: 207-885-1333    Fax: 207-885-1332
Colette Sharlene Stanley, MD
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Practice Location: 100 Campus Dr Unit 107, Scarborough, ME 04074
Phone: 207-396-7606    
Gwendolyn Oguin, DO
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Medicare: Medicare Enrolled
Practice Location: 20 Mussey Rd, Suite 2, Scarborough, ME 04074
Phone: 207-885-1333    Fax: 207-885-1337
Dr. David Merrill, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 69 Us Route 1, 6 Nonesuch Rd, Scarborough, ME 04074
Phone: 207-883-8100    
Felicia Jo Munster, FNP-BC
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Campus Dr, Scarborough, ME 04074
Phone: 207-396-7683    Fax: 207-396-7684

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.