Dr Douglas Alan Heighton, MD - Medicare Family Practice in Carthage, IL

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Dr Douglas Alan Heighton, MD is a medicare enrolled "Family Medicine" physician in Carthage, Illinois. He went to Wright State University Boonshoft School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Memorial Hospital Association and his current practice location is 630 Locust St, Carthage, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 357-2173.

Dr Douglas Alan Heighton is licensed to practice in Illinois (license number 036.124727) 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 1184661076.

Contact Information

Dr Douglas Alan Heighton, MD
630 Locust St,
Carthage, IL 62321-1459
(217) 357-2173
(217) 357-3610

Map and Direction




Physician's Profile

Full NameDr Douglas Alan Heighton
GenderMale
SpecialityFamily Practice
Experience26 Years
Location630 Locust St, Carthage, Illinois
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 Douglas Alan Heighton attended and graduated from Wright State University Boonshoft School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1184661076
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 01/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0244271914
  • Enrollment ID: I20100714000728

Medical Identifiers

Medical identifiers for Dr Douglas Alan Heighton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184661076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036.124727 (Illinois)Primary
207Q00000XFamily Medicine 035..077436 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hancock County Health DepartmeCarthage, ILHome health agency
Memorial HospitalCarthage, ILHospital
Mc Donough District HospitalMacomb, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital Association024413468231

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 Douglas Alan Heighton allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730139031
PECOS PAC ID: 0244134682
Enrollment ID: O20031126000246

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 Douglas Alan Heighton 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 Douglas Alan Heighton, MD
630 Locust St,
Carthage, IL 62321-1459

Ph: (217) 357-2173		Dr Douglas Alan Heighton, MD
630 Locust St,
Carthage, IL 62321-1459

Ph: (217) 357-2173

Reviews and Comments


Family Medicine Doctors in Carthage, IL

Rosalinda Campos, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1450 N County Road 2050 E, Carthage, IL 62321
Phone: 217-357-2173    Fax: 217-357-3610
Jennifer Kruse Allen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 704 Questover Dr, Carthage, IL 62321
Phone: 217-357-0791    

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.