Heidi Dearborn, DO in Jbsa Lackland, TX

Heidi Dearborn, DO is a medicare enrolled "Dermatology" physician in Jbsa Lackland, Texas. She went to University Of New England, College Of Osteo Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Epiphany Dermatology Pa and her current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-5350.

Heidi Dearborn is licensed to practice in Maine (license number DO2964) 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 1003317744.

Contact Information

	Heidi Dearborn, DO
	1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638
	(210) 292-5350
	Not Available

Map and Direction

Physician's Profile

Full Name	Heidi Dearborn
Gender	Female
Speciality	Dermatology
Experience	7 Years
Location	1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Heidi Dearborn attended and graduated from University Of New England, College Of Osteo Medicine in 2018

NPI Data:

NPI Number: 1003317744
Provider Enumeration Date: 02/27/2018
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 6305212531
Enrollment ID: I20230104000915

Medical Identifiers

Medical identifiers for Heidi Dearborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003317744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	DO2964 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Epiphany Dermatology Pa	3971827791	77

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. Heidi Dearborn allows following entities to bill medicare on her behalf.

Entity Name	Epiphany Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498

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. Heidi Dearborn 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
Heidi Dearborn, DO 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465	Heidi Dearborn, DO 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-5350

Reviews and Comments

Dermatology Doctors in Jbsa Lackland, TX

Dr. Amanda J Laska-trump, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934
Dr. Christopher M Edens, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225
Dr. Wendi Wohltmann, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5350
Shannon Patrick Buck, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-8200 Fax: 210-292-3781
Jared Eldon Roberts, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934
Mr. Jarrod Paul Odom, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5350

Heidi Dearborn, DO - Medicare Dermatology in Jbsa Lackland, TX