Clara M Higgins, DO - Medicare General Surgery in Lewes, DE

Clara M Higgins, DO is a medicare enrolled "Surgery" physician in Lewes, Delaware. She went to Philadelphia College Of Osteopathic Medicine and graduated in 1993 and has 30 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Wellmont Medical Associates Inc and her current practice location is 110 Anglers Rd, Unit 104 Safe Harbor, Lewes, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 644-9644.

Clara M Higgins is licensed to practice in Tennessee (license number 3108) 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 1487655866.

Contact Information

Clara M Higgins, DO
110 Anglers Rd, Unit 104 Safe Harbor,
Lewes, DE 19958-1105
(302) 644-9644
(302) 644-9646

Map and Direction




Physician's Profile

Full NameClara M Higgins
GenderFemale
SpecialityGeneral Surgery
Experience30 Years
Location110 Anglers Rd, Lewes, Delaware
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clara M Higgins attended and graduated from Philadelphia College Of Osteopathic Medicine in 1993
  NPI Data:
  • NPI Number: 1487655866
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 09/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991719007
  • Enrollment ID: I20160831002078

Medical Identifiers

Medical identifiers for Clara M Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487655866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery C20006485 (Delaware)Secondary
208600000XSurgery 3108 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hawkins County Memorial HospitalRogersville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellmont Medical Associates Inc8123291739335

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. Clara M Higgins allows following entities to bill medicare on her behalf.
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Clara M Higgins 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
Clara M Higgins, DO
110 Anglers Rd, Unit 104 Safe Harbor,
Lewes, DE 19958-1105

Ph: (302) 644-9644
Clara M Higgins, DO
110 Anglers Rd, Unit 104 Safe Harbor,
Lewes, DE 19958-1105

Ph: (302) 644-9644

Reviews and Comments


Surgery Doctors in Lewes, DE

Erik D Stancofski, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 750 Kings Hwy, Ste 103, Lewes, DE 19958
Phone: 302-645-7050    Fax: 302-645-8473
Dr. Mayer M Katz, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 33664 Bayview Medical Dr, Unit 2, Lewes, DE 19958
Phone: 302-644-4954    Fax: 302-645-5481
Dr. Scott M Schulze, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12100 Black Swan Drive, Suite 201, Lewes, DE 19958
Phone: 302-644-3311    Fax: 302-644-3300
Ramakrishna Tatineni, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 750 Kings Hwy, Ste 103, Lewes, DE 19958
Phone: 302-645-7050    Fax: 302-645-8473
Renee Schenning, RN
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 424 Savannah Rd, Lewes, DE 19958
Phone: 302-645-3300    
Dr. Carlos Alberto Neves, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 33664 Bayview Medical Dr, Unit 2, Lewes, DE 19958
Phone: 302-644-4954    Fax: 302-645-5481

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.