Dr Sean M Heffelfinger, MD - Medicare Family Practice in Catasauqua, PA

  1. Home
  2. Family Medicine
  3. PA
  4. Catasauqua
Dr Sean M Heffelfinger, MD is a medicare enrolled "Family Medicine" physician in Catasauqua, Pennsylvania. He went to Temple University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lehigh Valley Physician Group, The Weston Group Inc and his current practice location is 1400 Main St, Catasauqua, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 264-0411.

Dr Sean M Heffelfinger is licensed to practice in Pennsylvania (license number MD071157L) 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 1265483341.

Contact Information

Dr Sean M Heffelfinger, MD
1400 Main St,
Catasauqua, PA 18032-2646
(610) 264-0411
(484) 403-4016

Map and Direction




Physician's Profile

Full NameDr Sean M Heffelfinger
GenderMale
SpecialityFamily Practice
Experience26 Years
Location1400 Main St, Catasauqua, Pennsylvania
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 Sean M Heffelfinger attended and graduated from Temple University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1265483341
  • Provider Enumeration Date: 05/13/2006
  • Last Update Date: 08/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8224042957
  • Enrollment ID: I20060201000470

Medical Identifiers

Medical identifiers for Dr Sean M Heffelfinger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265483341NPI-NPPES
0018680230001MedicaidPA
927919OtherPAHIGHMARK PA BLUE SHIELD
50001222OtherPACAPITAL BLUE CROSS
080172001OtherPAPALMETTO GBA MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD071157L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Home CareAllentown, PAHome health agency
Helping Hand Hospice, IncPhiladelphia, PAHospice
Family Pillars Hospice IncBethlehem, PAHospice
Lehigh Valley HospiceAllentown, PAHospice
Serenity HospiceBensalem, PAHospice
Lehigh Valley HospitalAllentown, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital
Promedica Skilled Nrsg And Rehab (bethlehem South)Bethlehem, PANursing home
Promedica Skilled Nrsg And Rehab (bethlehem North)Bethlehem, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lehigh Valley Physician Group30724251231892
The Weston Group Inc8123936796261

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 Sean M Heffelfinger allows following entities to bill medicare on his behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335

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 Sean M Heffelfinger 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 Sean M Heffelfinger, MD
1605 N Cedar Crest Blvd, Suite 110b,
Allentown, PA 18104-2351

Ph: (610) 973-1410		Dr Sean M Heffelfinger, MD
1400 Main St,
Catasauqua, PA 18032-2646

Ph: (610) 264-0411

Reviews and Comments


Family Medicine Doctors in Catasauqua, PA

Dr. Michael F Benavage, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Main St, Catasauqua, PA 18032
Phone: 610-264-0411    Fax: 484-403-4016
Noel Brouse, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 840 Walnut St, Catasauqua, PA 18032
Phone: 610-266-3060    
Dr. Georgia Varvarelis Fliakos, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 840 Walnut St, Catasauqua, PA 18032
Phone: 610-266-3060    Fax: 610-266-3062

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.