John Raymond Heiss, MD | |
1099 Medical Center Cir, Mayfield, KY 42066-1159 | |
(270) 251-4243 | |
(270) 251-4220 |
Full Name | John Raymond Heiss |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1099 Medical Center Cir, Mayfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013951813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 29028 (Kentucky) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
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John Raymond Heiss, MD 1099 Medical Center Cir, Mayfield, KY 42066-1159 Ph: (270) 251-4243 | John Raymond Heiss, MD 1099 Medical Center Cir, Mayfield, KY 42066-1159 Ph: (270) 251-4243 |
Will Foston, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 931-906-4623 | |
Christa Monroe, NP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 800-893-9698 | |
Dr. Thomas Gerald Russell Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1099 Medical Center Cir, Mayfield, KY 42066 Phone: 270-251-4242 Fax: 270-251-4240 | |
Pavan Bejgum, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 South 9th Street, Mayfield, KY 42066 Phone: 270-247-7795 Fax: 800-574-6540 |