David James Heffernan, MD - Medicare Surgery in Providence, RI

David James Heffernan, MD is a medicare enrolled "Surgery" physician in Providence, Rhode Island. His current practice location is 2 Dudley St, Suite 470, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 553-8355.

David James Heffernan is licensed to practice in Rhode Island (license number MD12524) 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 1144377961.

Contact Information

David James Heffernan, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236
(401) 553-8355
(401) 868-2314

Map and Direction




Physician's Profile

Full NameDavid James Heffernan
GenderMale
SpecialitySurgery
Location2 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144377961
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 01/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022108620
  • Enrollment ID: I20080213000753

Medical Identifiers

Medical identifiers for David James Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144377961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD12524 (Rhode Island)Primary
2086S0102XSurgery - Surgical Critical Care 42633 (Tennessee)Secondary
2086S0127XSurgery - Trauma Surgery MD12524 (Rhode Island)Secondary
2086S0127XSurgery - Trauma Surgery 42633 (Tennessee)Secondary

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. David James Heffernan allows following entities to bill medicare on his behalf.
Entity NameUniversity Surgical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376589895
PECOS PAC ID: 4082503032
Enrollment ID: O20040818001275

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. David James Heffernan 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
David James Heffernan, MD
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625
David James Heffernan, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236

Ph: (401) 553-8355

Reviews and Comments


Surgery Doctors in Providence, RI

Aileen Hsueh,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Abigail Case, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    
Roberto M Vera, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088

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.