Alicia Marie Heidenreich, MD is a
Radiology - Diagnostic Radiology based in Cleveland, Ohio. Alicia Marie Heidenreich is licensed to practice in Ohio (license number 57.253006) and her current practice location is
2500 Metrohealth Dr, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 778-4486.
NPI number for Alicia Marie Heidenreich is 1083790760 and her current mailing address is 2500 Metrohealth Dr, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083790760.
Provider's Profile
Full Name | Alicia Marie Heidenreich |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 2500 Metrohealth Dr, Cleveland, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083790760
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 05/10/2022
Medical Identifiers
Medical identifiers for Alicia Marie Heidenreich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083790760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 50-002512 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 57.253006 (Ohio) | Primary |
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. Alicia Marie Heidenreich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alicia Marie Heidenreich, MD 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: (216) 778-4486 | Alicia Marie Heidenreich, MD 2500 Metrohealth Dr, Cleveland, OH 44109-1900 Ph: (216) 778-4486 |
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