Douglas Heller, MD is a medicare enrolled "Internal Medicine" physician in Lake Katrine, New York. His current practice location is
1561 Route 9w, Lake Katrine, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 231-5600.
Douglas Heller is licensed to practice in New York (license number 1822401) 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 1891759056.
Physician's Profile
| Full Name | Douglas Heller |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 1561 Route 9w, Lake Katrine, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1891759056
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 11/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 2466340336
- Enrollment ID: I20040512000176
Medical Identifiers
Medical identifiers for Douglas Heller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891759056 | NPI | - | NPPES |
| 01269938 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 1822401 (New York) | 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. Douglas Heller allows following entities to bill medicare on his behalf.
| Entity Name | Optum Medical Care Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
|---|
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. Douglas Heller 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 Address | Practice Location Address |
|---|
Douglas Heller, MD
110 S Bedford Rd, Caremount Medical Pc,
Mount Kisco, NY 10549-3446
Ph: (914) 241-1050 | Douglas Heller, MD
1561 Route 9w,
Lake Katrine, NY 12449-5410
Ph: (845) 231-5600 |
Reviews and Comments