Dr James S Heinzen, MD - Medicare Emergency Medicine in Berlin, WI

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Dr James S Heinzen, MD is a medicare enrolled "Emergency Medicine" physician in Berlin, Wisconsin. His current practice location is 225 Memorial Dr, Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 361-5525.

Dr James S Heinzen is licensed to practice in Wisconsin (license number 39061) 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 1013908409.

Contact Information

Dr James S Heinzen, MD
225 Memorial Dr,
Berlin, WI 54923-1243
(920) 361-5525
(920) 361-5925

Map and Direction




Physician's Profile

Full NameDr James S Heinzen
GenderMale
SpecialityEmergency Medicine
Location225 Memorial Dr, Berlin, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013908409
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 05/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325029770
  • Enrollment ID: I20070313000085

Medical Identifiers

Medical identifiers for Dr James S Heinzen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013908409NPI-NPPES
60729OtherWIDEAN HEALTH INSURANCE
32402700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 39061-020 (Wisconsin)Secondary
207P00000XEmergency Medicine 39061 (Wisconsin)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 James S Heinzen allows following entities to bill medicare on his behalf.
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThedacare Medical Center - Berlin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214
Entity NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20040301001179
Entity NameThedacare Medical Center - New London, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20040311000254
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645
Entity NameThedacare Medical Center - Berlin Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20050302000751
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20140321001620
Entity NameEmergency Physician Associates Of Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396119426
PECOS PAC ID: 3577865690
Enrollment ID: O20160106002712

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 James S Heinzen 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 James S Heinzen, MD
225 Memorial Dr,
Berlin, WI 54923-1243

Ph: (920) 361-5525		Dr James S Heinzen, MD
225 Memorial Dr,
Berlin, WI 54923-1243

Ph: (920) 361-5525

Reviews and Comments


Emergency Medicine Doctors in Berlin, WI

Mary Swieskowski Cummins, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-1313    
Erin K Eferem, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-5525    
Daniel Perrault, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-5525    Fax: 920-361-5925
Kenneth Sullivan, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 225 Memorial Dr, Berlin, WI 54923
Phone: 920-361-5525    

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.