Dr Michael Heffernan, PHD CP is a
Psychologist - Clinical based in Fulton, Texas. Dr Michael Heffernan is licensed to practice in Texas (license number 22178) and his current practice location is
408 N Third Street, Fulton, Texas. He can be reached at his office (for appointments etc.) via phone at
(361) 463-6115.
NPI number for Dr Michael Heffernan is 1457349920 and his current mailing address is Po Box 2321, Fulton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457349920.
Healthcare Provider's Profile
| Full Name | Dr Michael Heffernan |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 408 N Third Street, Fulton, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457349920
- Provider Enumeration Date: 10/10/2005
- Last Update Date: 08/10/2012
Medical Identifiers
Medical identifiers for Dr Michael Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457349920 | NPI | - | NPPES |
| 035457301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 22178 (Texas) | 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. Dr Michael Heffernan 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 |
|---|
Dr Michael Heffernan, PHD CP
Po Box 2321,
Fulton, TX 78358-2321
Ph: (361) 463-6115 | Dr Michael Heffernan, PHD CP
408 N Third Street,
Fulton, TX 78358
Ph: (361) 463-6115 |
Reviews and Comments