Andrew R Heckman, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Bloomington, Indiana. His current practice location is
727 W 2nd St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 353-3450.
Andrew R Heckman is licensed to practice in Indiana (license number 20043521A) 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 1265663678.
Healthcare Provider's Profile
| Full Name | Andrew R Heckman |
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| Gender | Male |
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| Speciality | Psychologist - Cognitive & Behavioral |
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| Location | 727 W 2nd St, Bloomington, Indiana |
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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: 1265663678
- Provider Enumeration Date: 08/03/2009
- Last Update Date: 01/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810321833
- Enrollment ID: I20191230001030
Medical Identifiers
Medical identifiers for Andrew R Heckman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265663678 | NPI | - | NPPES |
| 47037660631 | Medicaid | NE | |
| 10025550700 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 8939 (Nebraska) | Secondary |
| 103T00000X | Psychologist | 812 (Nebraska) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 20043521A (Indiana) | 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. Andrew R Heckman allows following entities to bill medicare on his behalf.
| Entity Name | Father Flanagans Boys Home |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295821825
PECOS PAC ID: 9638165400
Enrollment ID: O20040426000622 |
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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. Andrew R Heckman 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 |
|---|
Andrew R Heckman, PHD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Andrew R Heckman, PHD
727 W 2nd St,
Bloomington, IN 47403-2209
Ph: (812) 353-3450 |
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