Kerry Diantha Heitmiller, MD in Concord, MA

Kerry Diantha Heitmiller, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Concord, Massachusetts. She went to University Of Maryland School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Golden State Dermatology Associates, Inc. and her current practice location is 290 Baker Ave Ste N220, Concord, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 369-9023.

Kerry Diantha Heitmiller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982136586.

Contact Information

	Kerry Diantha Heitmiller, MD
	290 Baker Ave Ste N220, Concord, MA 01742-2190
	(978) 369-9023
	Not Available

Map and Direction

Physician's Profile

Full Name	Kerry Diantha Heitmiller
Gender	Female
Speciality	Dermatology
Experience	7 Years
Location	290 Baker Ave Ste N220, Concord, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kerry Diantha Heitmiller attended and graduated from University Of Maryland School Of Medicine in 2017

NPI Data:

NPI Number: 1982136586
Provider Enumeration Date: 04/02/2017
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9133476963
Enrollment ID: I20220622001979

Medical Identifiers

Medical identifiers for Kerry Diantha Heitmiller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982136586	NPI	-	NPPES
110172891A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	287028 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden State Dermatology Associates, Inc.	1052418175	89

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. Kerry Diantha Heitmiller allows following entities to bill medicare on her behalf.

Entity Name	Golden State Dermatology Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700860871 PECOS PAC ID: 1052418175 Enrollment ID: O20070523000605

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. Kerry Diantha Heitmiller 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
Kerry Diantha Heitmiller, MD 290 Baker Ave Ste N220, Concord, MA 01742-2190 Ph: (978) 369-9023	Kerry Diantha Heitmiller, MD 290 Baker Ave Ste N220, Concord, MA 01742-2190 Ph: (978) 369-9023

Kerry Diantha Heitmiller, MD - Medicare Dermatology in Concord, MA