Douglas Heiner, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in West Jordan, Utah. He went to University Of Texas Medical Branch At Galveston and graduated in 2010 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Southwest Skin Specialists Llc and his current practice location is
9001 S 3200 W, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 965-2799.
Douglas Heiner is licensed to practice in Utah (license number 9250806-1205) 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 1366753865.
Physician's Profile
| Full Name | Douglas Heiner |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 9001 S 3200 W, West Jordan, Utah |
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| Accepts Medicare Assignments | Yes. He 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:
- Douglas Heiner attended and graduated from University Of Texas Medical Branch At Galveston in 2010
NPI Data:
- NPI Number: 1366753865
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 08/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860712783
- Enrollment ID: I20150608001046
Medical Identifiers
Medical identifiers for Douglas Heiner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366753865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 9250806-1205 (Utah) | Secondary |
| 207N00000X | Dermatology | 14668 (Rhode Island) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 50534 (Arizona) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 9250806-1205 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Skin Specialists Llc | 9739079864 | 46 |
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. Douglas Heiner allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Skin Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174521926
PECOS PAC ID: 9739079864
Enrollment ID: O20040319001063 |
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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. Douglas Heiner 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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Douglas Heiner, MD
2965 W 3500 S,
West Valley City, UT 84119-3602
Ph: (801) 965-3600 | Douglas Heiner, MD
9001 S 3200 W,
West Jordan, UT 84088-9621
Ph: (801) 965-2799 |
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