Thomas Heflin, - Medicare Emergency Medicine in Oakland, CA

Thomas Heflin, is a medicare enrolled "Emergency Medicine" physician in Oakland, California. He went to Johns Hopkins University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Monterey Bay Observation Medicine, Community Hospital Of The Monterey Peninsula and his current practice location is 1411 E 31st St, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 437-4800.

Thomas Heflin is licensed to practice in California (license number A134809) 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 1568720332.

Contact Information

Thomas Heflin,
1411 E 31st St,
Oakland, CA 94602-1018
(510) 437-4800
Not Available

Map and Direction




Physician's Profile

Full NameThomas Heflin
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location1411 E 31st St, Oakland, California
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:
  • Thomas Heflin attended and graduated from Johns Hopkins University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1568720332
  • Provider Enumeration Date: 04/30/2012
  • Last Update Date: 07/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4183917206
  • Enrollment ID: I20160727002157

Medical Identifiers

Medical identifiers for Thomas Heflin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568720332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A134809 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospital Of The Monterey PeninsulaMonterey, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monterey Bay Observation Medicine105263051420
Community Hospital Of The Monterey Peninsula7214839125129

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. Thomas Heflin allows following entities to bill medicare on his behalf.
Entity NameCommunity Hospital Of The Monterey Peninsula
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225285810
PECOS PAC ID: 7214839125
Enrollment ID: O20040217001081
Entity NameSolano Gateway Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952344293
PECOS PAC ID: 5496725418
Enrollment ID: O20040916001355
Entity NameCarbon Health Medical Group Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276
Entity NameMonterey Bay Observation Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205225505
PECOS PAC ID: 1052630514
Enrollment ID: O20150505002649

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. Thomas Heflin 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
Thomas Heflin,
1411 E 31st St,
Oakland, CA 94602-1018

Ph: () -
Thomas Heflin,
1411 E 31st St,
Oakland, CA 94602-1018

Ph: (510) 437-4800

Reviews and Comments


Emergency Medicine Doctors in Oakland, CA

Daniel Mantuani, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1506 4th Ave Apt 5, Apt 5, Oakland, CA 94606
Phone: 504-390-5474    
Jennifer I. Harris, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 275 W Macarthur, Oakland, CA 94611
Phone: 510-752-1000    
Benjamin J. Bonnes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-1000    
Richard J. Knight, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-1000    
Michael S. Gelfond, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 275 W Macarthur, Oakland, CA 94611
Phone: 510-752-1000    
Dr. Kayla Enriquez, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1411 E 31st St, Oakland, CA 94602
Phone: 510-437-4564    
Dr. Emily Meilan Sze, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 Hawthorne Ave, Oakland, CA 94609
Phone: 510-869-2500    

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.