Dr Jack David Heneisen, MD in Rincon, GA - Medicare Family Medicine

Dr Jack David Heneisen, MD is a medicare enrolled "Family Medicine" physician in Rincon, Georgia. His current practice location is 1214 N Columbia Ave., Unit D, Rincon, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 826-2132.

Dr Jack David Heneisen is licensed to practice in Georgia (license number 022780) 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 1447310115.

Contact Information

	Dr Jack David Heneisen, MD
	1214 N Columbia Ave., Unit D, Rincon, GA 31326
	(912) 826-2132
	(912) 826-2141

Map and Direction

Physician's Profile

Full Name	Dr Jack David Heneisen
Gender	Male
Speciality	Family Medicine
Location	1214 N Columbia Ave., Rincon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447310115
Provider Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567464415
Enrollment ID: I20070207000058

Medical Identifiers

Medical identifiers for Dr Jack David Heneisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447310115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	022780 (Georgia)	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 Jack David Heneisen allows following entities to bill medicare on his behalf.

Entity Name	Thrive Healthcare Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902477052 PECOS PAC ID: 1658761424 Enrollment ID: O20211209002209

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 Jack David Heneisen 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 Jack David Heneisen, MD Po Box 2089, Rincon, GA 31326-2089 Ph: (912) 826-2132	Dr Jack David Heneisen, MD 1214 N Columbia Ave., Unit D, Rincon, GA 31326 Ph: (912) 826-2132

Reviews and Comments

Family Medicine Doctors in Rincon, GA

Jacqueline A Caffrey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 423 S. Columbia Avenue, Rincon, GA 31326 Phone: 912-826-8860 Fax: 912-826-2813
Dr. Willert Howard Lynn Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Towne Park Dr, Suite 400, Rincon, GA 31326 Phone: 912-826-1220 Fax: 912-826-1216
Susan R Reinheimer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 423 S. Columbia Avenue, Rincon, GA 31326 Phone: 912-819-1000 Fax: 912-823-2813
Slavko Kukucka, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 119 Chimney Rd, Rincon, GA 31326 Phone: 912-826-0229 Fax: 912-826-0449
Maria E Rivera, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Goshen Rd, Rincon, GA 31326 Phone: 912-826-6000 Fax: 912-826-6016
Dr. Xiaofeng Zhong, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Goshen Rd, Rincon, GA 31326 Phone: 912-826-6000

Dr Jack David Heneisen, MD - Medicare Family Medicine in Rincon, GA