Ms Theresa A Heffernan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Miami Beach, Florida. She graduated from nursing school in 1976 and has 48 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Trident Anesthesia Group Llc and her current practice location is
160 Nw 170th St, North Miami Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 654-3041.
Ms Theresa A Heffernan is licensed to practice in Illinois (license number 041-169856) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144399957.
Provider's Profile
| Full Name | Ms Theresa A Heffernan |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 48 Years |
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| Location | 160 Nw 170th St, North Miami Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Theresa A Heffernan graduated from nursing school in 1976
NPI Data:
- NPI Number: 1144399957
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648278192
- Enrollment ID: I20231121003430
Medical Identifiers
Medical identifiers for Ms Theresa A Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144399957 | NPI | - | NPPES |
| 041-169856 | Other | IL | IL STATE LICENSE |
| 031617 | Other | IL | CRNA RE-CERT CARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041-169856 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Trident Anesthesia Group Llc | 5294631545 | 96 |
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. Ms Theresa A Heffernan allows following entities to bill medicare on her behalf.
| Entity Name | Trident Anesthesia Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376595520
PECOS PAC ID: 5294631545
Enrollment ID: O20031209000391 |
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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. Ms Theresa A Heffernan 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 |
|---|
Ms Theresa A Heffernan, CRNA
185 Penny Ave,
East Dundee, IL 60118-1454
Ph: (847) 836-7015 | Ms Theresa A Heffernan, CRNA
160 Nw 170th St,
North Miami Beach, FL 33169-5521
Ph: (305) 654-3041 |
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