Jason Pernell Heavens, MD - Medicare Family Practice in Phoenix, AZ

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Jason Pernell Heavens, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Medical Group Arizona Llc, Heavens Urgent Care Llc and his current practice location is 9225 N 3rd St Ste 102, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 362-2983.

Jason Pernell Heavens is licensed to practice in Arizona (license number 44336) 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 1063781797.

Contact Information

Jason Pernell Heavens, MD
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455
(602) 362-2983
(480) 565-4552

Map and Direction




Physician's Profile

Full NameJason Pernell Heavens
GenderMale
SpecialityFamily Practice
Experience27 Years
Location9225 N 3rd St Ste 102, Phoenix, Arizona
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:
  • Jason Pernell Heavens graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1063781797
  • Provider Enumeration Date: 12/27/2011
  • Last Update Date: 02/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3375799810
  • Enrollment ID: I20120815000744

Medical Identifiers

Medical identifiers for Jason Pernell Heavens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063781797NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 44336 (Arizona)Secondary
207Q00000XFamily Medicine 44336 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Baywood Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Arizona Llc3173872835190
Heavens Urgent Care Llc74162044744

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. Jason Pernell Heavens allows following entities to bill medicare on his behalf.
Entity NameHeavens Medical Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023381555
PECOS PAC ID: 5395991822
Enrollment ID: O20120815000659
Entity NameMd Homecare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720524333
PECOS PAC ID: 8325324114
Enrollment ID: O20170410001831
Entity NameHeavens Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578065827
PECOS PAC ID: 7416204474
Enrollment ID: O20180720003069
Entity NameSummit Medical Group Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053810622
PECOS PAC ID: 3173872835
Enrollment ID: O20180814003015

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. Jason Pernell Heavens 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
Jason Pernell Heavens, MD
105 S Delaware Dr Ste 1,
Apache Junction, AZ 85120-6512

Ph: (480) 646-1001		Jason Pernell Heavens, MD
9225 N 3rd St Ste 102,
Phoenix, AZ 85020-2455

Ph: (602) 362-2983

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.