Dr James John Heron, MD - Medicare Family Medicine in Marquette, MI

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Dr James John Heron, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Marquette, Michigan. His current practice location is 425 Fisher St, Marquette, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 226-3576.

Dr James John Heron is licensed to practice in Michigan (license number 4301043907) 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 1942364609.

Contact Information

Dr James John Heron, MD
425 Fisher St,
Marquette, MI 49855-4521
(906) 226-3576
(906) 226-9533

Map and Direction




Physician's Profile

Full NameDr James John Heron
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location425 Fisher St, Marquette, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942364609
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2769428150
  • Enrollment ID: I20101119001194

Medical Identifiers

Medical identifiers for Dr James John Heron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942364609NPI-NPPES
4509057MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 4301043907 (Michigan)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 James John Heron allows following entities to bill medicare on his behalf.
Entity NameState Of Michigan Office Of Financial Management
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508883299
PECOS PAC ID: 5496650723
Enrollment ID: O20040114000603
Entity NameDlp Marquette Physician Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487902995
PECOS PAC ID: 9931359601
Enrollment ID: O20121016000312

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 John Heron 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 John Heron, MD
449 W Hewitt Ave,
Marquette, MI 49855-3321

Ph: (906) 228-7569		Dr James John Heron, MD
425 Fisher St,
Marquette, MI 49855-4521

Ph: (906) 226-3576

Reviews and Comments


Family Medicine Doctors in Marquette, MI

Spring L Madosh, MD
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Lyle J Vanderschaaf, MD
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Kathryn Lerche, DO
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Dr. Cynthia K Lack, MD
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Siddhesh Ramesh Lotlikar, MD
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Phone: 906-225-3864    Fax: 906-225-3851
Katrina M Brang, MD
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Practice Location: 717 W Washington St Ste A, Marquette, MI 49855
Phone: 906-936-3499    Fax: 906-224-2562

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.