Kenneth Bryan Heller, MD is a medicare enrolled "General Practice" physician in Belton, South Carolina. His current practice location is
113 Wildwood Dr, Belton, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 940-9701.
Kenneth Bryan Heller is licensed to practice in South Carolina (license number 09331) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477588655.
Physician's Profile
Full Name | Kenneth Bryan Heller |
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Gender | Male |
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Speciality | General Practice |
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Location | 113 Wildwood Dr, Belton, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477588655
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 08/23/2007
Medicare PECOS Information:
- PECOS PAC ID: 7113042821
- Enrollment ID: I20101118001213
Medical Identifiers
Medical identifiers for Kenneth Bryan Heller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477588655 | NPI | - | NPPES |
093311 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 09331 (South Carolina) | 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. Kenneth Bryan Heller allows following entities to bill medicare on his behalf.
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902476443 PECOS PAC ID: 9032021175 Enrollment ID: O20071217000080 |
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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. Kenneth Bryan Heller 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 Address | Practice Location Address |
Kenneth Bryan Heller, MD Po Box 846, Belton, SC 29627-0846 Ph: (864) 940-9701 | Kenneth Bryan Heller, MD 113 Wildwood Dr, Belton, SC 29627-9687 Ph: (864) 940-9701 |
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