Mrs Jenia R Heavens, FNP-C in Belleville, IL - Medicare Nurse Practitioner

Mrs Jenia R Heavens, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Belleville, Illinois. Her current practice location is 12 N 64th St, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 397-0900.

Mrs Jenia R Heavens is licensed to practice in Illinois (license number 309.008084) 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 1508255662.

Contact Information

	Mrs Jenia R Heavens, FNP-C
	12 N 64th St, Belleville, IL 62223-3809
	(618) 397-0900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jenia R Heavens
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12 N 64th St, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508255662
Provider Enumeration Date: 01/13/2015
Last Update Date: 11/14/2019

Medicare PECOS Information:

PECOS PAC ID: 3274819990
Enrollment ID: I20190125001305

Medical Identifiers

Medical identifiers for Mrs Jenia R Heavens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508255662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209012258 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	309.008084 (Illinois)	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. Mrs Jenia R Heavens allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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. Mrs Jenia R Heavens 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
Mrs Jenia R Heavens, FNP-C 205 Crystal Ln, Fairview Heights, IL 62208-2963 Ph: () -	Mrs Jenia R Heavens, FNP-C 12 N 64th St, Belleville, IL 62223-3809 Ph: (618) 397-0900

Reviews and Comments

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Mrs Jenia R Heavens, FNP-C - Medicare Nurse Practitioner in Belleville, IL