Nancy Dayzie Heavilin, MD is a medicare enrolled "Pediatrics" physician in Redmond, Oregon. Her current practice location is
211 Nw Larch Ave, Redmond, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 548-2164.
Nancy Dayzie Heavilin is licensed to practice in Colorado (license number 0052767) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306162789.
Physician's Profile
| Full Name | Nancy Dayzie Heavilin |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 211 Nw Larch Ave, Redmond, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306162789
- Provider Enumeration Date: 04/11/2010
- Last Update Date: 09/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 0648404368
- Enrollment ID: I20150729010046
Medical Identifiers
Medical identifiers for Nancy Dayzie Heavilin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306162789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 0052767 (Colorado) | Primary |
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. Nancy Dayzie Heavilin allows following entities to bill medicare on her behalf.
| Entity Name | Mosaic Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
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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. Nancy Dayzie Heavilin 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 |
Nancy Dayzie Heavilin, MD Po Box 5579, Bend, OR 97708-5579 Ph: (541) 548-2164 | Nancy Dayzie Heavilin, MD 211 Nw Larch Ave, Redmond, OR 97756-1357 Ph: (541) 548-2164 |
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