Dr Heidi M Dunniway, MD is a medicare enrolled "Otolaryngology" physician in Boonville, Indiana. Her current practice location is
1116 Millis Ave, Boonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 485-1400.
Dr Heidi M Dunniway is licensed to practice in Indiana (license number 01050112A) 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 1053478495.
Physician's Profile
Full Name | Dr Heidi M Dunniway |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | 1116 Millis Ave, Boonville, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053478495
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 03/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749317931
- Enrollment ID: I20100420000453
Medical Identifiers
Medical identifiers for Dr Heidi M Dunniway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053478495 | NPI | - | NPPES |
200221210 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 01050112A (Indiana) | 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 Heidi M Dunniway allows following entities to bill medicare on her behalf.
Entity Name | St Marys Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
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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 Heidi M Dunniway 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 |
Dr Heidi M Dunniway, MD Po Box 13059, Belfast, ME 04915-4021 Ph: (812) 485-1220 | Dr Heidi M Dunniway, MD 1116 Millis Ave, Boonville, IN 47601-2204 Ph: (812) 485-1400 |
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