Dr James A Heinsimer, MD - Medicare Cardiovascular Disease (cardiology) in Royal Oak, MI

Dr James A Heinsimer, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Royal Oak, Michigan. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1977 and has 47 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). His current practice location is 3535 W 13 Mile Rd Ste 504, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 551-0066.

Dr James A Heinsimer is licensed to practice in Michigan (license number 4301049901) 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 1861468316.

Contact Information

Dr James A Heinsimer, MD
3535 W 13 Mile Rd Ste 504,
Royal Oak, MI 48073-6770
(248) 551-0066
(248) 481-9605

Map and Direction




Physician's Profile

Full NameDr James A Heinsimer
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience47 Years
Location3535 W 13 Mile Rd Ste 504, Royal Oak, Michigan
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 James A Heinsimer attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1977
  NPI Data:
  • NPI Number: 1861468316
  • Provider Enumeration Date: 02/24/2006
  • Last Update Date: 11/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567351752
  • Enrollment ID: I20040315000609

Medical Identifiers

Medical identifiers for Dr James A Heinsimer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861468316NPI-NPPES
2742939MedicaidMI
11278375OtherMICAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 4301049901 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Mercy OaklandPontiac, MIHospital

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 James A Heinsimer allows following entities to bill medicare on his behalf.
Entity NameJames Heinsimer Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124214952
PECOS PAC ID: 4082704457
Enrollment ID: O20071221000411

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 James A Heinsimer 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 James A Heinsimer, MD
3535 W 13 Mile Rd Ste 504,
Royal Oak, MI 48073-6770

Ph: (248) 551-0066
Dr James A Heinsimer, MD
3535 W 13 Mile Rd Ste 504,
Royal Oak, MI 48073-6770

Ph: (248) 551-0066

Reviews and Comments


Internal Medicine Doctors in Royal Oak, MI

Nicole Marijanovich, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-7999    Fax: 248-898-0580
Vinayata Manuballa Kareti, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 661-948-0803    
Christopher Carpenter,
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073
Phone: 248-551-0495    
Dr. Matthew Burns Cotant, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3577 W 13 Mile Rd, Suite 404, Royal Oak, MI 48073
Phone: 248-551-6900    Fax: 248-551-6909
Geoffrey Prysak, MD, MPH
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-7999    
Taylor Schoenheit,
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-898-6509    
Shane Mckenna, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073
Phone: 248-551-3000    Fax: 248-551-9425

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.