Dr Charles R Heron, MD - Medicare Anesthesiology in Green Bay, WI

Dr Charles R Heron, MD is a medicare enrolled "Anesthesiology" physician in Green Bay, Wisconsin. He went to Michigan State University College Of Human Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Effingham Surgical Partners Llc and his current practice location is 1726 Shawano Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 498-4200.

Dr Charles R Heron is licensed to practice in Wisconsin (license number 33270-020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942283585.

Contact Information

Dr Charles R Heron, MD
1726 Shawano Ave,
Green Bay, WI 54303-3216
(920) 498-4200
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles R Heron
GenderMale
SpecialityAnesthesiology
Experience34 Years
Location1726 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles R Heron attended and graduated from Michigan State University College Of Human Medicine in 1990
  NPI Data:
  • NPI Number: 1942283585
  • Provider Enumeration Date: 11/29/2005
  • Last Update Date: 02/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6204836703
  • Enrollment ID: I20111118000517

Medical Identifiers

Medical identifiers for Dr Charles R Heron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942283585NPI-NPPES
32081000MedicaidWI
P0036797OtherRAIL ROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 33270-020 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Effingham Surgical Partners Llc30724085335

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. Dr Charles R Heron allows following entities to bill medicare on his behalf.
Entity NameEffingham Surgical Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831280536
PECOS PAC ID: 3072408533
Enrollment ID: O20040216000552

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. Dr Charles R Heron 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
Dr Charles R Heron, MD
225 S Executive Dr,
Brookfield, WI 53005-4266

Ph: (262) 787-4026
Dr Charles R Heron, MD
1726 Shawano Ave,
Green Bay, WI 54303-3216

Ph: (920) 498-4200

Reviews and Comments


Anesthesiology Doctors in Green Bay, WI

Timothy R Cooper, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 877-229-0273    Fax: 920-288-4863
Dr. Brian C Johnson, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-433-0111    
Stephen A Brada, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-3388    Fax: 920-288-3370
Linda M Neuser, CRNA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-5582    
Dr. Joel M Johnson, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 835 S Van Buren St, Green Bay, WI 54301
Phone: 920-443-0111    
Dr. Marshall A Longnecker, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 744 S Webster Ave, Green Bay, WI 54301
Phone: 920-433-3500    
Dr. Hwe Jae Song, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 139 Garden Gate Ct, Green Bay, WI 54313
Phone: 920-883-9527    

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.