Dr Jimmy D Heath Jr, MD is a medicare enrolled "Family Medicine" physician in East Prairie, Missouri. His current practice location is
320 N Lincoln St, East Prairie, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 649-3026.
Dr Jimmy D Heath Jr is licensed to practice in Missouri (license number MDR5A39) 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 1679551063.
Physician's Profile
| Full Name | Dr Jimmy D Heath Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 320 N Lincoln St, East Prairie, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679551063
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 03/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 0345149571
- Enrollment ID: I20100928000272
Medical Identifiers
Medical identifiers for Dr Jimmy D Heath Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679551063 | NPI | - | NPPES |
| 23178 | Other | MO | BCBS MO NUMBER |
| 124804 | Other | MO | HEALTHLINK NUMBER |
| 201199429 | Medicaid | MO | |
| 43074141063801A002 | Other | MO | TRICARE |
| 430741410 | Other | MO | FIRST HEALTH NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MDR5A39 (Missouri) | 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 Jimmy D Heath Jr allows following entities to bill medicare on his behalf.
| Entity Name | Saint Francis Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356304489
PECOS PAC ID: 9931007929
Enrollment ID: O20040107000140 |
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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. Dr Jimmy D Heath Jr 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 |
|---|
Dr Jimmy D Heath Jr, MD
Po Box 801143,
Kansas City, MO 64180-1143
Ph: (573) 331-5583 | Dr Jimmy D Heath Jr, MD
320 N Lincoln St,
East Prairie, MO 63845-1160
Ph: (573) 649-3026 |
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