Jacquelyn Heron, is a medicare enrolled "Advanced Practice Midwife" in Havre De Grace, Maryland. Her current practice location is
308 N Union Ave, Havre De Grace, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 939-3121.
Jacquelyn Heron is licensed to practice in Maryland (license number R193492) 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 1780064097.
Provider's Profile
Full Name | Jacquelyn Heron |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 308 N Union Ave, Havre De Grace, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780064097
- Provider Enumeration Date: 06/02/2015
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284010539
- Enrollment ID: I20221010003149
Medical Identifiers
Medical identifiers for Jacquelyn Heron such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780064097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R193492 (Maryland) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
367A00000X | Advanced Practice Midwife | R193492 (Maryland) | 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. Jacquelyn Heron allows following entities to bill medicare on her behalf.
Entity Name | University Of Maryland St Joseph Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
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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. Jacquelyn Heron 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 |
Jacquelyn Heron, 2612 Taplin Ln, Fallston, MD 21047-2048 Ph: (410) 688-0034 | Jacquelyn Heron, 308 N Union Ave, Havre De Grace, MD 21078-2825 Ph: (410) 939-3121 |
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