Dr James Freeman Heise, MD - Medicare Internal Medicine in Sturgeon Bay, WI

Dr James Freeman Heise, MD is a medicare enrolled "Hospitalist" physician in Sturgeon Bay, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Door County Memorial Hospital and his current practice location is 323 S 18th Ave, Sturgeon Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 743-5566.

Dr James Freeman Heise is licensed to practice in Wisconsin (license number 46570-20) 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 1316934060.

Contact Information

Dr James Freeman Heise, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
(920) 743-5566
Not Available

Map and Direction




Physician's Profile

Full NameDr James Freeman Heise
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location323 S 18th Ave, Sturgeon Bay, Wisconsin
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 Freeman Heise attended and graduated from Medical College Of Wisconsin in 2002
  NPI Data:
  • NPI Number: 1316934060
  • Provider Enumeration Date: 09/27/2005
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294783940
  • Enrollment ID: I20050110000299

Medical Identifiers

Medical identifiers for Dr James Freeman Heise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316934060NPI-NPPES
46570OtherWILICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 46570-020 (Wisconsin)Secondary
208M00000XHospitalist 46570-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Door County Medical CenterSturgeon bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Door County Memorial Hospital539573508867

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 Freeman Heise allows following entities to bill medicare on his behalf.
Entity NameDoor County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093743874
PECOS PAC ID: 5395735088
Enrollment ID: O20040514000588

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 Freeman Heise 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 Freeman Heise, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401

Ph: (920) 746-3680
Dr James Freeman Heise, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401

Ph: (920) 743-5566

Reviews and Comments


Hospitalist Doctors in Sturgeon Bay, WI

Dr. Marc Paul Binard, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-743-5566    

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.