Dr Donna Marie Heffernan, MD - Medicare Family Medicine in Troy, NY

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Dr Donna Marie Heffernan, MD is a medicare enrolled "Family Medicine" physician in Troy, New York. Her current practice location is 63 East Rd, Troy, New York. You can reach out to her office (for appointments etc.) via phone at (518) 346-3100.

Dr Donna Marie Heffernan is licensed to practice in New York (license number 227275) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003842287.

Contact Information

Dr Donna Marie Heffernan, MD
63 East Rd,
Troy, NY 12180-6860
(518) 346-3100
(877) 583-1284

Map and Direction




Physician's Profile

Full NameDr Donna Marie Heffernan
GenderFemale
SpecialityFamily Medicine
Location63 East Rd, Troy, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003842287
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133265267
  • Enrollment ID: I20091005000018

Medical Identifiers

Medical identifiers for Dr Donna Marie Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003842287NPI-NPPES
000404017001OtherNYHIGHMARK
394892OtherNYMVP
1003842287OtherNYHUMANA
200048OtherNYSENIOR WHOLE HEALTH
74563OtherNYGHI/HMO
000404017001OtherNYBSNENY
0007309558OtherNYAETNA
02425056MedicaidNY
1003842287OtherNYTRICARE
10072104OtherNYCDPHP
7309558OtherNYAETNA
5191C1OtherNYEMPIRE BC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2272751 (New York)Secondary
207Q00000XFamily Medicine 227275 (New York)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 Donna Marie Heffernan allows following entities to bill medicare on her behalf.
Entity NameKingsway Arms Nursing Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528061850
PECOS PAC ID: 1850368218
Enrollment ID: O20040914001341
Entity NameDonna Heffernan Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336898303
PECOS PAC ID: 6406374750
Enrollment ID: O20250520001623

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 Donna Marie 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 AddressPractice Location Address
Dr Donna Marie Heffernan, MD
Po Box 3203,
Schenectady, NY 12303-0203

Ph: (518) 346-3100		Dr Donna Marie Heffernan, MD
63 East Rd,
Troy, NY 12180-6860

Ph: (518) 346-3100

Reviews and Comments


Family Medicine Doctors in Troy, NY

Sharon Bedford,
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Phone: 518-274-9126    Fax: 518-274-9487
Frank Farrell Garcia, MD
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Donald Jue,
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Dr. Alfredo Bamba Cruz, M.D.
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Practice Location: 45 2nd St, Troy, NY 12180
Phone: 518-272-7191    Fax: 518-272-7234
Arturo Miranda Gelpi, M.D.
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Practice Location: 2215 Burdett Ave, Troy, NY 12180
Phone: 518-268-4990    
Dr. Rachelle Brilliant, DO
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Practice Location: 101 Jordan Rd, Suite 104, Troy, NY 12180
Phone: 518-274-9126    Fax: 518-274-9487

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.