James Heron, MD - Medicare Internal Medicine in Atlantis, FL

James Heron, MD is a medicare enrolled "Internal Medicine" physician in Atlantis, Florida. He went to Medical College Of Wisconsin and graduated in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medical Specialists Of The Palm Beaches Inc and his current practice location is 5401 S Congress Ave, #218, Atlantis, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 968-0307.

James Heron is licensed to practice in Florida (license number ME85170) 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 1013964840.

Contact Information

James Heron, MD
5401 S Congress Ave, #218,
Atlantis, FL 33462-6635
(561) 968-0307
(561) 968-7673

Map and Direction




Physician's Profile

Full NameJames Heron
GenderMale
SpecialityInternal Medicine
Experience31 Years
Location5401 S Congress Ave, Atlantis, Florida
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:
  • James Heron attended and graduated from Medical College Of Wisconsin in 1993
  NPI Data:
  • NPI Number: 1013964840
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 01/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446387823
  • Enrollment ID: I20100415000559

Medical Identifiers

Medical identifiers for James Heron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013964840NPI-NPPES
268096300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME85170 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jfk Medical CenterAtlantis, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Specialists Of The Palm Beaches Inc0244143758118

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. James Heron allows following entities to bill medicare on his behalf.
Entity NameMedical Specialists Of The Palm Beaches Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386687580
PECOS PAC ID: 0244143758
Enrollment ID: O20031111000205
Entity NameAccountable Care Hospitalist Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659640282
PECOS PAC ID: 3678733342
Enrollment ID: O20120404000760

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. James 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
James Heron, MD
7593 W Boynton Beach Blvd Ste 220,
Boynton Beach, FL 33437-6162

Ph: (561) 649-7000
James Heron, MD
5401 S Congress Ave, #218,
Atlantis, FL 33462-6635

Ph: (561) 968-0307

Reviews and Comments


Internal Medicine Doctors in Atlantis, FL

Roberto Von Sohsten, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5401 S Congress Ave, #102, Atlantis, FL 33462
Phone: 561-967-5033    Fax: 561-967-8974
Dr. Samantha Sylvonne Kerry-ann Nicholson-spence, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5301 S Congress Ave, Atlantis, FL 33462
Phone: 561-548-1273    
Alexander Chernobelsky, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5401 S Congress Ave, #102, Atlantis, FL 33462
Phone: 561-967-5033    Fax: 561-967-8974
Denzil S Seedial, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5401 S Congress Ave, Ste 204, Atlantis, FL 33462
Phone: 561-967-4118    Fax: 561-967-3463
Dr. Daphnee Marie Hutchinson, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 5301 S Congress Ave, Atlantis, FL 33462
Phone: 561-548-1750    
Dr. Farahnaz Angella, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 Jfk Dr, Suite 311, Atlantis, FL 33462
Phone: 561-434-0353    Fax: 561-357-0869

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.