Dr Jack David Heneisen, MD - Medicare Family Medicine in Rincon, GA

Dr Jack David Heneisen, MD is a medicare enrolled "Family Medicine" physician in Rincon, Georgia. His current practice location is 1214 N Columbia Ave., Unit D, Rincon, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 826-2132.

Dr Jack David Heneisen is licensed to practice in Georgia (license number 022780) 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 1447310115.

Contact Information

Dr Jack David Heneisen, MD
1214 N Columbia Ave., Unit D,
Rincon, GA 31326
(912) 826-2132
(912) 826-2141

Map and Direction




Physician's Profile

Full NameDr Jack David Heneisen
GenderMale
SpecialityFamily Medicine
Location1214 N Columbia Ave., Rincon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447310115
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2567464415
  • Enrollment ID: I20070207000058

Medical Identifiers

Medical identifiers for Dr Jack David Heneisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447310115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 022780 (Georgia)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 Jack David Heneisen allows following entities to bill medicare on his behalf.
Entity NameThrive Healthcare Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902477052
PECOS PAC ID: 1658761424
Enrollment ID: O20211209002209

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 Jack David Heneisen 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 Jack David Heneisen, MD
Po Box 2089,
Rincon, GA 31326-2089

Ph: (912) 826-2132
Dr Jack David Heneisen, MD
1214 N Columbia Ave., Unit D,
Rincon, GA 31326

Ph: (912) 826-2132

Reviews and Comments


Family Medicine Doctors in Rincon, GA

Jacqueline A Caffrey, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 423 S. Columbia Avenue, Rincon, GA 31326
Phone: 912-826-8860    Fax: 912-826-2813
Dr. Willert Howard Lynn Iii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Towne Park Dr, Suite 400, Rincon, GA 31326
Phone: 912-826-1220    Fax: 912-826-1216
Susan R Reinheimer, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 423 S. Columbia Avenue, Rincon, GA 31326
Phone: 912-819-1000    Fax: 912-823-2813
Slavko Kukucka, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 119 Chimney Rd, Rincon, GA 31326
Phone: 912-826-0229    Fax: 912-826-0449
Maria E Rivera, D.O
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Goshen Rd, Rincon, GA 31326
Phone: 912-826-6000    Fax: 912-826-6016
Dr. Xiaofeng Zhong, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 100 Goshen Rd, Rincon, GA 31326
Phone: 912-826-6000    

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.