Dr Joseph D Heineman, MD - Medicare Urology in Newport, RI

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Dr Joseph D Heineman, MD is a medicare enrolled "Urology" physician in Newport, Rhode Island. He went to Boston University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Northeast Medical Group Inc and his current practice location is 38 Powel Ave, Newport, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 847-2418.

Dr Joseph D Heineman is licensed to practice in Rhode Island (license number MD10348) 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 1154394096.

Contact Information

Dr Joseph D Heineman, MD
38 Powel Ave,
Newport, RI 02840-2655
(401) 847-2418
(401) 619-1028

Map and Direction




Physician's Profile

Full NameDr Joseph D Heineman
GenderMale
SpecialityUrology
Experience30 Years
Location38 Powel Ave, Newport, Rhode Island
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 Joseph D Heineman attended and graduated from Boston University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1154394096
  • Provider Enumeration Date: 02/10/2006
  • Last Update Date: 02/05/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5496781338
  • Enrollment ID: I20101103001034

Medical Identifiers

Medical identifiers for Dr Joseph D Heineman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154394096NPI-NPPES
7008228MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD10348 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Westerly HospitalWesterly, RIHospital
South County Hospital IncWakefield, RIHospital
Newport HospitalNewport, RIHospital
The Miriam HospitalProvidence, RIHospital
Lawrence & Memorial HospitalNew london, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361244

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 Joseph D Heineman allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20170518000594

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 Joseph D Heineman 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 Joseph D Heineman, MD
38 Powel Ave,
Newport, RI 02840-2655

Ph: (401) 847-2418		Dr Joseph D Heineman, MD
38 Powel Ave,
Newport, RI 02840-2655

Ph: (401) 847-2418

Reviews and Comments


Urology Doctors in Newport, RI

Dr. Richard Taylor Zuerner, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 38 Powel Ave, Newport, RI 02840
Phone: 401-847-2418    Fax: 401-619-1028
Samuel Hamilton Eaton, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 23 Powel Ave Apt 3, Newport, RI 02840
Phone: 401-228-0631    Fax: 401-324-5025
Dr. Arnold A. Sarazen, M.D.
Urology
Medicare: May Accept Medicare Assignments
Practice Location: 38 Powel Ave, Newport, RI 02840
Phone: 401-847-2418    Fax: 401-619-1028
Dr. John Philip Heffernan, M.D.
Urology
Medicare: May Accept Medicare Assignments
Practice Location: 38 Powel Ave, Newport, RI 02840
Phone: 401-847-2418    Fax: 401-619-1028

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.