Raul Heredia, MD - Medicare Cardiovascular Disease (cardiology) in Frankfort, KY

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Raul Heredia, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Frankfort, Kentucky. He went to University Of Texas Medical Branch At Galveston and graduated in 2000 and has 24 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Baptist Health Medical Group Inc and his current practice location is 1002 Leawood Dr, Frankfort, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 227-7188.

Raul Heredia is licensed to practice in Kentucky (license number 35532) 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 1366408213.

Contact Information

Raul Heredia, MD
1002 Leawood Dr,
Frankfort, KY 40601
(502) 227-7188
(502) 227-7379

Map and Direction




Physician's Profile

Full NameRaul Heredia
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience24 Years
Location1002 Leawood Dr, Frankfort, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raul Heredia attended and graduated from University Of Texas Medical Branch At Galveston in 2000
  NPI Data:
  • NPI Number: 1366408213
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 12/27/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7315995834
  • Enrollment ID: I20050111000429

Medical Identifiers

Medical identifiers for Raul Heredia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366408213NPI-NPPES
0939806OtherKYALTERNATE MEDICARE PIN
64027345MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 35532 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Frankfort Regional Medical CenterFrankfort, KYHospital
Baptist Health LexingtonLexington, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Health Medical Group Inc55978671841912

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. Raul Heredia allows following entities to bill medicare on his behalf.
Entity NameCapital Family Physicians Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780628974
PECOS PAC ID: 2668454323
Enrollment ID: O20040605000000
Entity NameCogent Healthcare Of Kentucky, Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053362293
PECOS PAC ID: 0648294157
Enrollment ID: O20060124000434
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518360296
PECOS PAC ID: 5597867184
Enrollment ID: O20150206000249
Entity NameHospital Medicine Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160803001623

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. Raul Heredia 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
Raul Heredia, MD
Po Box 4168,
Frankfort, KY 40601

Ph: (502) 223-5811		Raul Heredia, MD
1002 Leawood Dr,
Frankfort, KY 40601

Ph: (502) 227-7188

Reviews and Comments


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Abdolkarim Tahanasab, M.D.
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Phone: 000-000-0000    

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.

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