Heather James, - Medicare Nurse Practitioner in Clairton, PA

Heather James, is a medicare enrolled "Nurse Practitioner - Family" in Clairton, Pennsylvania. Her current practice location is 1200 Brooks Ln, Suite 260, Clairton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (412) 469-5914.

Heather James is licensed to practice in Pennsylvania (license number SP010957) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386952752.

Contact Information

Heather James,
1200 Brooks Ln, Suite 260,
Clairton, PA 15025-3747
(412) 469-5914
Not Available

Map and Direction




Provider's Profile

Full NameHeather James
GenderFemale
SpecialityNurse Practitioner - Family
Location1200 Brooks Ln, Clairton, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386952752
  • Provider Enumeration Date: 09/20/2010
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1052586088
  • Enrollment ID: I20111202000403

Medical Identifiers

Medical identifiers for Heather James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386952752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP010957 (Pennsylvania)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. Heather James allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883

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. Heather James 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
Heather James,
1200 Brooks Lane, Suite 260,
Clairton, PA 15025

Ph: () -
Heather James,
1200 Brooks Ln, Suite 260,
Clairton, PA 15025-3747

Ph: (412) 469-5914

Reviews and Comments


Nurse Practitioner Nurses in Clairton, PA

Wendy Wakefield,
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Medicare: Accepting Medicare Assignments
Practice Location: 575 Coal Valley Rd, Suite Eg-01, Clairton, PA 15025
Phone: 412-267-6255    
Andrea Renee Barber, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 575 Coal Valley Rd Ste 464, Clairton, PA 15025
Phone: 412-267-6360    Fax: 412-267-6361
Lana P Bliner, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Brooks Ln, Suite Number 285, Clairton, PA 15025
Phone: 412-449-6956    Fax: 412-469-3799
Dawn L Bocianoski, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Brooks Ln Ste 110, Clairton, PA 15025
Phone: 412-466-5502    
Leigh Ann Reese,
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Medicare: Medicare Enrolled
Practice Location: 1200 Brooks Ln, Clairton, PA 15025
Phone: 412-469-8959    
Autumn Rae Mrosko,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 575 Coal Valley Rd Ste 300, Clairton, PA 15025
Phone: 412-267-6600    Fax: 412-267-6281
Jane M. Rodgers, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 565 Coal Valley Rd, Clairton, PA 15025
Phone: 412-359-6656    Fax: 412-359-6653

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.