Dr Nicholas Heasley, DC is a medicare enrolled "Chiropractor" provider in Waymart, Pennsylvania. His current practice location is
631 Roosevelt Hwy, Waymart, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 488-9800.
Dr Nicholas Heasley is licensed to practice in Pennsylvania (license number DC011502) 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 1598314486.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Heasley |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 631 Roosevelt Hwy, Waymart, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598314486
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 09/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 4385975150
- Enrollment ID: I20191009000138
Medical Identifiers
Medical identifiers for Dr Nicholas Heasley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598314486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC011502 (Pennsylvania) | 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. Dr Nicholas Heasley allows following entities to bill medicare on his behalf.
| Provider Name | Legacy Medical Centers Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013164623
PECOS PAC ID: 0749461481
Enrollment ID: O20110301000009 |
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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. Dr Nicholas Heasley 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 |
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Dr Nicholas Heasley, DC
406 Spruce St Apt 2,
Scranton, PA 18503-1801
Ph: (814) 657-5916 | Dr Nicholas Heasley, DC
631 Roosevelt Hwy,
Waymart, PA 18472-6117
Ph: (570) 488-9800 |
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