Daniel J Heinemann, MD - Medicare Family Medicine in Sioux Falls, SD

Daniel J Heinemann, MD is a medicare enrolled "Family Medicine" physician in Sioux Falls, South Dakota. His current practice location is 1305 W 18th St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 333-6571.

Daniel J Heinemann is licensed to practice in South Dakota (license number 1250) 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 1508861329.

Contact Information

Daniel J Heinemann, MD
1305 W 18th St,
Sioux Falls, SD 57105-0401
(605) 333-6571
Not Available

Map and Direction




Physician's Profile

Full NameDaniel J Heinemann
GenderMale
SpecialityFamily Medicine
Location1305 W 18th St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508861329
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 12/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1759294283
  • Enrollment ID: I20041228000470

Medical Identifiers

Medical identifiers for Daniel J Heinemann such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508861329NPI-NPPES
5603003MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1250 (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. Daniel J Heinemann allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532
Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

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. Daniel J Heinemann 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
Daniel J Heinemann, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Daniel J Heinemann, MD
1305 W 18th St,
Sioux Falls, SD 57105-0401

Ph: (605) 333-6571

Reviews and Comments


Family Medicine Doctors in Sioux Falls, SD

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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).

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