James Davidson Heffernan Jr, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakewood, New Jersey. His current practice location is
360 Route 70, Lakewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 942-9835.
James Davidson Heffernan Jr is licensed to practice in New Jersey (license number 26NJ14870500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407214224.
Provider's Profile
| Full Name | James Davidson Heffernan Jr |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 360 Route 70, Lakewood, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407214224
- Provider Enumeration Date: 02/08/2016
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274830468
- Enrollment ID: I20160404000847
Medical Identifiers
Medical identifiers for James Davidson Heffernan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407214224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 164262 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 20984 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ14870500 (New Jersey) | 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. James Davidson Heffernan Jr allows following entities to bill medicare on his behalf.
| Entity Name | University Anesthesiologists, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073619466
PECOS PAC ID: 8921097197
Enrollment ID: O20040511001722 |
|---|
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364 |
|---|
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. James Davidson Heffernan Jr 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 |
|---|
James Davidson Heffernan Jr,
1924 Alcoa Hwy, Box U109,
Knoxville, TN 37920-1511
Ph: (865) 305-9220 | James Davidson Heffernan Jr,
360 Route 70,
Lakewood, NJ 08701-5823
Ph: (732) 942-9835 |
Reviews and Comments