| J Michael Heffernan, MD | |
|
950 N Wyomissing Blvd, Suite A, Wyomissing, PA 19610-1784 | |
| (610) 898-2400 | |
| (610) 376-5861 |
| Full Name | J Michael Heffernan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 950 N Wyomissing Blvd, Wyomissing, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700854957 | NPI | - | NPPES |
| 0011482470001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD030004E (Pennsylvania) | Primary |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Mailing Address | Practice Location Address |
|---|---|
| J Michael Heffernan, MD 50 Commerce Dr, Wyomissing, PA 19610-3335 Ph: (610) 372-8044 | J Michael Heffernan, MD 950 N Wyomissing Blvd, Suite A, Wyomissing, PA 19610-1784 Ph: (610) 898-2400 |
Nirav R. Shah, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610 Phone: 610-374-4401 Fax: 610-374-7140 | |
Dr. David F Steffy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610 Phone: 610-898-1820 Fax: 610-372-0164 | |
Dr. Michael Bernard Russo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-8500 Fax: 610-685-4833 | |
Dr. Pallak Agarwal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528 | |
Louis La Luna, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610 Phone: 610-374-4401 Fax: 610-374-7140 | |
Tara Lynn Dimino, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-8500 Fax: 610-685-4833 | |
Dr. John T Van Den Bosch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610 Phone: 610-898-1820 Fax: 610-376-0164 |