Dr Heather Mcgowan, MD - Medicare Ophthalmology in Tinton Falls, NJ

  1. Home
  2. Ophthalmology
  3. NJ
  4. Tinton Falls
Dr Heather Mcgowan, MD is a medicare enrolled "Ophthalmology" physician in Tinton Falls, New Jersey. Her current practice location is 21 N Gilbert St, Tinton Falls, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 741-1902.

Dr Heather Mcgowan is licensed to practice in New Jersey (license number 25MA11722200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265097364.

Contact Information

Dr Heather Mcgowan, MD
21 N Gilbert St,
Tinton Falls, NJ 07701-4950
(732) 741-1902
Not Available

Map and Direction




Physician's Profile

Full NameDr Heather Mcgowan
GenderFemale
SpecialityOphthalmology
Location21 N Gilbert St, Tinton Falls, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265097364
  • Provider Enumeration Date: 05/03/2019
  • Last Update Date: 02/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870822299
  • Enrollment ID: I20230801000660

Medical Identifiers

Medical identifiers for Dr Heather Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265097364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 25MA11722200 (New Jersey)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. Dr Heather Mcgowan allows following entities to bill medicare on her behalf.
Entity NameDonald A Macdonald
Entity TypePractitioner - Ophthalmology
Entity IdentifiersNPI Number: 1982696985
PECOS PAC ID: 8426050519
Enrollment ID: I20070201000593

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 Heather Mcgowan 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 Heather Mcgowan, MD
21 N Gilbert St,
Tinton Falls, NJ 07701-4950

Ph: (732) 741-1902		Dr Heather Mcgowan, MD
21 N Gilbert St,
Tinton Falls, NJ 07701-4950

Ph: (732) 741-1902

Reviews and Comments


Ophthalmology Doctors in Tinton Falls, NJ

Judith Simon, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 21 N Gilbert St, Tinton Falls, NJ 07701
Phone: 732-741-1902    Fax: 732-741-1919
Donald A Macdonald Jr., MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 21 N Gilbert St, Suite 200, Tinton Falls, NJ 07701
Phone: 732-741-1902    Fax: 732-741-1919

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.