Craig William Heise Jr, MD - Medicare Family Medicine in Phoenix, AZ

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Craig William Heise Jr, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. His current practice location is 1300 N 12th St, Suite 605, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 839-2668.

Craig William Heise Jr is licensed to practice in Arizona (license number 45475) 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 1629398912.

Contact Information

Craig William Heise Jr, MD
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848
(602) 839-2668
(602) 839-2067

Map and Direction




Physician's Profile

Full NameCraig William Heise Jr
GenderMale
SpecialityFamily Medicine
Location1300 N 12th St, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629398912
  • Provider Enumeration Date: 06/09/2010
  • Last Update Date: 08/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234364050
  • Enrollment ID: I20131104000990

Medical Identifiers

Medical identifiers for Craig William Heise Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629398912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PT0002XEmergency Medicine - Medical Toxicology 45475 (Arizona)Secondary
207PT0002XEmergency Medicine - Medical Toxicology MD221429 (Oregon)Secondary
207PT0002XEmergency Medicine - Medical Toxicology U9545 (Texas)Secondary
207PT0002XEmergency Medicine - Medical Toxicology ME165028 (Florida)Secondary
2083A0300XPreventive Medicine - Addiction Medicine MD221429 (Oregon)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 45475 (Arizona)Secondary
2083A0300XPreventive Medicine - Addiction Medicine ME165028 (Florida)Secondary
2083A0300XPreventive Medicine - Addiction Medicine U9545 (Texas)Secondary
207Q00000XFamily Medicine 45475 (Arizona)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. Craig William Heise Jr allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518984210
PECOS PAC ID: 6901707272
Enrollment ID: O20040119000693
Entity NameEmergency Physicians Southwest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameBanner - University Physician Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437529245
PECOS PAC ID: 5991008054
Enrollment ID: O20160122001476
Entity NameBanner - University Primary Care Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154791960
PECOS PAC ID: 2365746450
Enrollment ID: O20160210001728

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. Craig William Heise Jr 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
Craig William Heise Jr, MD
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848

Ph: (602) 839-2668		Craig William Heise Jr, MD
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848

Ph: (602) 839-2668

Reviews and Comments


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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.