Thomas Heischmidt, MD - Medicare Internal Medicine in Effingham, IL

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Thomas Heischmidt, MD is a medicare enrolled "Internal Medicine" physician in Effingham, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Anthony's Memorial Hospital, Family Care Associates Of Effingham Sc and his current practice location is 1106 N Merchant St, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 342-7000.

Thomas Heischmidt is licensed to practice in Illinois (license number 036097905) 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 1396720983.

Contact Information

Thomas Heischmidt, MD
1106 N Merchant St,
Effingham, IL 62401-2128
(217) 342-7000
Not Available

Map and Direction




Physician's Profile

Full NameThomas Heischmidt
GenderMale
SpecialityInternal Medicine
Experience29 Years
Location1106 N Merchant St, Effingham, Illinois
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 Heischmidt attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995
  NPI Data:
  • NPI Number: 1396720983
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 09/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8224022843
  • Enrollment ID: I20100331000587

Medical Identifiers

Medical identifiers for Thomas Heischmidt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396720983NPI-NPPES
IL2868156OtherILMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036097905 (Illinois)Secondary
207R00000XInternal Medicine 036097905 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs Home Care Southern IllinoisEffingham, ILHome health agency
Clay Home Health ServicesFlora, ILHome health agency
St Anthonys Memorial HospitalEffingham, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Clay County HospitalFlora, ILHospital
Lakeland Rehab & Healthcare CenterEffingham, ILNursing home
Evergreen Nursing & Rehab CenterEffingham, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Anthony's Memorial Hospital236534121126
Family Care Associates Of Effingham Sc589078941615

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 Heischmidt allows following entities to bill medicare on his behalf.
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameFamily Care Associates Of Effingham Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649255266
PECOS PAC ID: 5890789416
Enrollment ID: O20040414001058

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 Heischmidt 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 Heischmidt, MD
Po Box 665,
Effingham, IL 62401-0665

Ph: (217) 342-7000		Thomas Heischmidt, MD
1106 N Merchant St,
Effingham, IL 62401-2128

Ph: (217) 342-7000

Reviews and Comments


Internal Medicine Doctors in Effingham, IL

Nitin Kumar, MD
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Phone: 217-540-2350    Fax: 217-347-2323
Dr. Lizzette Colon-ramos, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1901 S 4th St, Ste 21, Va Effingham Cboc, Effingham, IL 62401
Phone: 217-347-7600    Fax: 217-342-9733
Chariece Lasalle Robinson, MD
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Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-347-6127    Fax: 217-347-1538
Dr. Rita Waleska Maldonado, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1011 Ford Ave, Effingham, IL 62401
Phone: 217-347-7600    
Dr. Jennifer C Maneja, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 300 N Maple St, Effingham, IL 62401
Phone: 217-342-4151    Fax: 217-347-8955
Howard B Chodash, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 W Temple Ave Ste 2500, Effingham, IL 62401
Phone: 217-540-2350    Fax: 217-347-2323
Dr. Jessica Jean Prange, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-342-2121    Fax: 217-347-1563

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.