Dr John Philip Heffernan, MD - Medicare Urology in Newport, RI

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Dr John Philip Heffernan, MD is a medicare enrolled "Urology" physician in Newport, Rhode Island. He went to Georgetown University School Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Urology. He is a member of the group practice Silver Spring Health Care Management Inc and his current practice location is 38 Powel Ave, Newport, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 847-2418.

Dr John Philip Heffernan is licensed to practice in Rhode Island (license number MD09513) 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 1649243643.

Contact Information

Dr John Philip Heffernan, MD
38 Powel Ave,
Newport, RI 02840-2655
(401) 847-2418
(401) 619-1028

Map and Direction




Physician's Profile

Full NameDr John Philip Heffernan
GenderMale
SpecialityUrology
Experience39 Years
Location38 Powel Ave, Newport, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Philip Heffernan attended and graduated from Georgetown University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1649243643
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 01/25/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0143414136
  • Enrollment ID: I20101103001097

Medical Identifiers

Medical identifiers for Dr John Philip Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649243643NPI-NPPES
7006003MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD09513 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South County Hospital IncWakefield, RIHospital
Newport HospitalNewport, RIHospital
The Miriam HospitalProvidence, RIHospital
Southcoast Hospitals GroupFall river, MAHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Silver Spring Health Care Management Inc4688661127114

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 John Philip Heffernan allows following entities to bill medicare on his behalf.
Entity NameSilver Spring Health Care Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477052256
PECOS PAC ID: 4688661127
Enrollment ID: O20180326000869

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 John Philip 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 John Philip Heffernan, MD
38 Powel Ave,
Newport, RI 02840-2655

Ph: (401) 847-2418		Dr John Philip Heffernan, MD
38 Powel Ave,
Newport, RI 02840-2655

Ph: (401) 847-2418

Reviews and Comments


Urology Doctors in Newport, RI

Dr. Joseph D. Heineman, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 38 Powel Ave, Newport, RI 02840
Phone: 401-847-2418    Fax: 401-619-1028
Dr. Richard Taylor Zuerner, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 38 Powel Ave, Newport, RI 02840
Phone: 401-847-2418    Fax: 401-619-1028
Samuel Hamilton Eaton, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 23 Powel Ave Apt 3, Newport, RI 02840
Phone: 401-228-0631    Fax: 401-324-5025
Dr. Arnold A. Sarazen, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 38 Powel Ave, Newport, RI 02840
Phone: 401-847-2418    Fax: 401-619-1028

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.