Heidi Ginter, MD - Medicare Family Medicine in Westfield, MA

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Heidi Ginter, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Westfield, Massachusetts. Her current practice location is 125 N Elm St, Westfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 568-6600.

Heidi Ginter is licensed to practice in Massachusetts (license number 159349) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659356574.

Contact Information

Heidi Ginter, MD
125 N Elm St,
Westfield, MA 01085-3464
(413) 568-6600
Not Available

Map and Direction




Physician's Profile

Full NameHeidi Ginter
GenderFemale
SpecialityFamily Medicine - Addiction Medicine
Location125 N Elm St, Westfield, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659356574
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709177389
  • Enrollment ID: I20161116000980

Medical Identifiers

Medical identifiers for Heidi Ginter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659356574NPI-NPPES
1306421MedicaidMA
1308785MedicaidMA
1301071MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 159349 (Massachusetts)Secondary
207QA0401XFamily Medicine - Addiction Medicine 52615 (Connecticut)Secondary
207QA0401XFamily Medicine - Addiction Medicine MD19870 (Maine)Secondary
207QA0401XFamily Medicine - Addiction Medicine 16460 (New Hampshire)Secondary
207QA0401XFamily Medicine - Addiction Medicine 159349 (Massachusetts)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. Heidi Ginter allows following entities to bill medicare on her behalf.
Entity NameColumn Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861898934
PECOS PAC ID: 8224356571
Enrollment ID: O20150416001040

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. Heidi Ginter 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
Heidi Ginter, MD
125 N Elm St,
Westfield, MA 01085-3464

Ph: (413) 568-6600		Heidi Ginter, MD
125 N Elm St,
Westfield, MA 01085-3464

Ph: (413) 568-6600

Reviews and Comments


Family Medicine Doctors in Westfield, MA

George E Reynolds, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 75 Springfield Rd, Suite 1, Westfield, MA 01085
Phone: 413-562-5173    Fax: 413-562-1716
Shilpa G Muddasani, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 West Silver Street, Westfield, MA 01085
Phone: 413-568-2811    

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.