Dr Susan M Heffley, MD - Medicare Family Practice in Colorado Springs, CO

Dr Susan M Heffley, MD is a medicare enrolled "Family Medicine" physician in Colorado Springs, Colorado. She went to University Of Louisville School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Catholic Health Initiatives Colorado and her current practice location is 3027 N Circle Dr, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 776-4646.

Dr Susan M Heffley is licensed to practice in Colorado (license number DR.0059357) 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 1417007642.

Contact Information

Dr Susan M Heffley, MD
3027 N Circle Dr,
Colorado Springs, CO 80909-1179
(719) 776-4646
(719) 776-4640

Map and Direction




Physician's Profile

Full NameDr Susan M Heffley
GenderFemale
SpecialityFamily Practice
Experience21 Years
Location3027 N Circle Dr, Colorado Springs, Colorado
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 Susan M Heffley attended and graduated from University Of Louisville School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1417007642
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466543483
  • Enrollment ID: I20180525000656

Medical Identifiers

Medical identifiers for Dr Susan M Heffley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417007642NPI-NPPES
7100005270MedicaidKY
9000163357MedicaidCO
000000638818OtherKYANTHEM BC/BS
C10499OtherKYMEDICARE RAILROAD PTAN
DR.0059357OtherCOCO MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 40967 (Kentucky)Secondary
207Q00000XFamily Medicine DR.0059357 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centura Health-penrose St Francis Health ServicesColorado springs, COHospital
Uch-memorial Health SystemColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Health Initiatives Colorado8022927342998

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 Susan M Heffley allows following entities to bill medicare on her behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462
Entity NameOptumcare Colorado Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413

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 Susan M Heffley 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 Susan M Heffley, MD
3027 N Circle Dr,
Colorado Springs, CO 80909-1179

Ph: (719) 776-4646
Dr Susan M Heffley, MD
3027 N Circle Dr,
Colorado Springs, CO 80909-1179

Ph: (719) 776-4646

Reviews and Comments


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Dr. Max A Nevarez, MD
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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.