Joel E Herness, MD - Medicare Internal Medicine in Fairfield, CA

Joel E Herness, MD is a medicare enrolled "Family Medicine" physician in Fairfield, California. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Quantum Healthcare Medical Associates Inc and his current practice location is 101 Bodin Cir, Fairfield, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3911.

Joel E Herness is licensed to practice in Washington (license number MD60712573) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023379260.

Contact Information

Joel E Herness, MD
101 Bodin Cir,
Fairfield, CA 94535-1809
(707) 423-3911
Not Available

Map and Direction




Physician's Profile

Full NameJoel E Herness
GenderMale
SpecialityInternal Medicine
Experience9 Years
Location101 Bodin Cir, Fairfield, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joel E Herness graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1023379260
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244478048
  • Enrollment ID: I20230301001639

Medical Identifiers

Medical identifiers for Joel E Herness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023379260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD60712573 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Solano Medical CenterVallejo, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quantum Healthcare Medical Associates Inc529464757486

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. Joel E Herness allows following entities to bill medicare on his behalf.
Entity NameQuantum Healthcare Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568490597
PECOS PAC ID: 5294647574
Enrollment ID: O20040924000422

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. Joel E Herness 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
Joel E Herness, MD
101 Bodin Cir,
Fairfield, CA 94535-1809

Ph: (707) 423-3911
Joel E Herness, MD
101 Bodin Cir,
Fairfield, CA 94535-1809

Ph: (707) 423-3911

Reviews and Comments


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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.