Tomas Rafael Higgins, - Medicare Internal Medicine in Madisonville, KY

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Tomas Rafael Higgins, is a medicare enrolled "Internal Medicine" physician in Madisonville, Kentucky. His current practice location is 900 Hospital Dr, Madisonville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 825-5100.

Tomas Rafael Higgins is licensed to practice in Kentucky (license number TP823) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225761216.

Contact Information

Tomas Rafael Higgins,
900 Hospital Dr,
Madisonville, KY 42431-1644
(270) 825-5100
Not Available

Map and Direction




Physician's Profile

Full NameTomas Rafael Higgins
GenderMale
SpecialityInternal Medicine
Location900 Hospital Dr, Madisonville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225761216
  • Provider Enumeration Date: 07/06/2022
  • Last Update Date: 07/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850773821
  • Enrollment ID: I20220808001767

Medical Identifiers

Medical identifiers for Tomas Rafael Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225761216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine TP823 (Kentucky)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. Tomas Rafael Higgins allows following entities to bill medicare on his behalf.
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 Deaconess Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437730942
PECOS PAC ID: 6103220330
Enrollment ID: O20210810000993

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. Tomas Rafael Higgins 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
Tomas Rafael Higgins,
13713 Sw 50th St,
Miramar, FL 33027-5912

Ph: () -		Tomas Rafael Higgins,
900 Hospital Dr,
Madisonville, KY 42431-1644

Ph: (270) 825-5100

Reviews and Comments


Internal Medicine Doctors in Madisonville, KY

Deepak Kapadia, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 550 Hospital Dr, Suite B, Madisonville, KY 42431
Phone: 270-821-5454    Fax: 270-326-4968
Devalkumar Jitendrabhai Rajyaguru, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 900 Hospital Dr, Madisonville, KY 42431
Phone: 270-825-5800    Fax: 270-825-5810
David A Ladden, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 Hospital Dr, Madisonville, KY 42431
Phone: 270-326-3800    Fax: 270-326-3805
Dr. Stacey Michelle Miller, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-7200    
Dolph Martel Denny, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 800 Hospital Dr, Madisonville, KY 42431
Phone: 270-326-3800    
Michael Fisher, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44 Mccoy Rd, Suite 103, Madisonville, KY 42431
Phone: 270-824-9222    Fax: 270-824-8088

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.