Dr Kathleen A Heffernan, MD - Medicare Obstetrics/gynecology in Warren, NJ

Dr Kathleen A Heffernan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Warren, New Jersey. She went to New York Medical College and graduated in 1981 and has 43 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Summit Medical Group Pa and her current practice location is 34 Mountain Blvd, Warren, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 769-0100.

Dr Kathleen A Heffernan is licensed to practice in New Jersey (license number MA52928) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891797957.

Contact Information

Dr Kathleen A Heffernan, MD
34 Mountain Blvd,
Warren, NJ 07059-2640
(908) 769-0100
(908) 769-2512

Map and Direction




Physician's Profile

Full NameDr Kathleen A Heffernan
GenderFemale
SpecialityObstetrics/gynecology
Experience43 Years
Location34 Mountain Blvd, Warren, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kathleen A Heffernan attended and graduated from New York Medical College in 1981
  NPI Data:
  • NPI Number: 1891797957
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 07/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0547204877
  • Enrollment ID: I20050616000915

Medical Identifiers

Medical identifiers for Dr Kathleen A Heffernan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891797957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MA52928 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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 Kathleen A Heffernan allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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 Kathleen A 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 Kathleen A Heffernan, MD
1 Diamond Hill Rd, Summit Medical Group,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Dr Kathleen A Heffernan, MD
34 Mountain Blvd,
Warren, NJ 07059-2640

Ph: (908) 769-0100

Reviews and Comments


Obstetrics & Gynecology Doctors in Warren, NJ

Mr. George Tweddel, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 27 Mountain Blvd, Suite 6, Warren, NJ 07059
Phone: 908-561-1102    Fax: 908-561-1106
Dr. Shilpa Mahendra Clott, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 31 Mountain Blvd Bldg T, Suite 1, Warren, NJ 07059
Phone: 908-222-0070    Fax: 908-374-6152
Dr. James A Levey, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 34 Mountain Blvd, Warren, NJ 07059
Phone: 908-769-0100    Fax: 908-769-2512
Dr. Thomas De Angelis, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 27 Mountain Blvd, Suite 6, Warren, NJ 07059
Phone: 908-561-1102    Fax: 908-561-1106
Gerald V Costa, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 16 Sugarwood Way, Warren, NJ 07059
Phone: 908-607-0030    
Dr. Maya Mansukhlal Sanghavi, M.D.;F.A.C.O.G.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 27 Mountain Blvd Ste 6, Warren, NJ 07059
Phone: 973-736-1100    Fax: 973-736-1134
Dr. Gerard Joseph Pregenzer, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 65 Mountain Blvd Ext Suite 201, Womens Health Care Of Warren, Warren, NJ 07059
Phone: 732-469-9494    Fax: 732-469-0036

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.