Heather L Carone, MD - Medicare General Practice in Cleveland, OH

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Heather L Carone, MD is a medicare enrolled "General Practice" physician in Cleveland, Ohio. She went to University Of Toledo College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Riverwood Emergency Services Inc, Ashland Emergency Group Llc and her current practice location is 16600 W Sprague Rd Ste 120, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (248) 434-6169.

Heather L Carone is licensed to practice in Ohio (license number 35087034) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558324830.

Contact Information

Heather L Carone, MD
16600 W Sprague Rd Ste 120,
Cleveland, OH 44130-6300
(248) 434-6169
Not Available

Map and Direction




Physician's Profile

Full NameHeather L Carone
GenderFemale
SpecialityGeneral Practice
Experience23 Years
Location16600 W Sprague Rd Ste 120, Cleveland, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather L Carone attended and graduated from University Of Toledo College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1558324830
  • Provider Enumeration Date: 04/08/2006
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284656455
  • Enrollment ID: I20060103000061

Medical Identifiers

Medical identifiers for Heather L Carone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558324830NPI-NPPES
P00273838OtherOHRAILROAD MEDICARE #
104818437MedicaidMI
000000387605OtherOHBC/BS INDIVIDUAL #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35087034 (Ohio)Secondary
208D00000XGeneral Practice 35087034 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Henry County Hospital, IncNapoleon, OHHospital
Mercy St Vincent Medical CenterToledo, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverwood Emergency Services Inc115322566931
Ashland Emergency Group Llc600229052517

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. Heather L Carone allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932386059
PECOS PAC ID: 9234041948
Enrollment ID: O20031119000596
Entity NameRiverwood Emergency Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104888536
PECOS PAC ID: 1153225669
Enrollment ID: O20031125000488
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864
Entity NameOmni Health Services, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932380086
PECOS PAC ID: 2961584610
Enrollment ID: O20080204000037
Entity NameOhio Emergency Professionals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982983425
PECOS PAC ID: 0547433328
Enrollment ID: O20111024000785
Entity NameMercy Emergency Care Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477957819
PECOS PAC ID: 9436475795
Enrollment ID: O20150303001904
Entity NameApp Of Ohio Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619418696
PECOS PAC ID: 6103102959
Enrollment ID: O20170411001544
Entity NameIsland Medical Van Wert Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275059982
PECOS PAC ID: 0749546075
Enrollment ID: O20171102000655
Entity NameUltimate Care Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083202816
PECOS PAC ID: 2668887209
Enrollment ID: O20210212001392
Entity NameAshland Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073246971
PECOS PAC ID: 6002290525
Enrollment ID: O20220901002449

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. Heather L Carone 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
Heather L Carone, MD
Po Box 639295 Dept 93394,
Cincinnati, OH 45263-9295

Ph: (248) 434-6169		Heather L Carone, MD
16600 W Sprague Rd Ste 120,
Cleveland, OH 44130-6300

Ph: (248) 434-6169

Reviews and Comments


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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.