Dr Michael Riley Heaphy Jr, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Sparks, Nevada. He went to University Of Texas Medical School At Houston and graduated in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Mountain West Derm - Blackhart Pllc, Mountain West Derm - Blackhart Pllc, Mountain West Derm - Blackhart Pllc, Mountain West Derm - Blackhart Pllc, Mountain West Derm - Blackhart Pllc, Mountain West Derm - Blackhart Pllc and his current practice location is
4814 Sparks Blvd, Sparks, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 324-0699.
Dr Michael Riley Heaphy Jr is licensed to practice in Nevada (license number 17674) 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 1174620496.
Physician's Profile
| Full Name | Dr Michael Riley Heaphy Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 25 Years |
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| Location | 4814 Sparks Blvd, Sparks, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Riley Heaphy Jr attended and graduated from University Of Texas Medical School At Houston in 1999
NPI Data:
- NPI Number: 1174620496
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416977582
- Enrollment ID: I20180413001324
Medical Identifiers
Medical identifiers for Dr Michael Riley Heaphy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174620496 | NPI | - | NPPES |
| AB222U | Other | FL | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0900X | Dermatology - Dermatopathology | ME97172 (Florida) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 35.088653 (Ohio) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | T4386 (Texas) | Secondary |
| 207N00000X | Dermatology | ME97172 (Florida) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 17674 (Nevada) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 103 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 103 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 103 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 103 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 103 |
| Mountain West Derm - Blackhart Pllc | 1153609813 | 103 |
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 Michael Riley Heaphy Jr allows following entities to bill medicare on his behalf.
| Entity Name | Mountain West Derm - Blackhart Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740633015
PECOS PAC ID: 1153609813
Enrollment ID: O20161031002278 |
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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 Michael Riley Heaphy 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 Michael Riley Heaphy Jr, MD
640 W Moana Ln,
Reno, NV 89509-4903
Ph: (775) 324-0699 | Dr Michael Riley Heaphy Jr, MD
4814 Sparks Blvd,
Sparks, NV 89436
Ph: (775) 324-0699 |
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