Trace Heavener, DO in Coeur D Alene, ID - Medicare Internal Medicine

Trace Heavener, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Coeur D Alene, Idaho. His current practice location is 1919 Lincoln Way Ste 415, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-4595.

Trace Heavener is licensed to practice in Idaho (license number O-1809) 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 1841646726.

Contact Information

	Trace Heavener, DO
	1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527
	(208) 625-4595
	(208) 625-4596

Map and Direction

Physician's Profile

Full Name	Trace Heavener
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	1919 Lincoln Way Ste 415, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841646726
Provider Enumeration Date: 05/10/2016
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 8224319181
Enrollment ID: I20180301001130

Medical Identifiers

Medical identifiers for Trace Heavener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841646726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	O-1809 (Idaho)	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. Trace Heavener allows following entities to bill medicare on his behalf.

Entity Name	Concord Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531

Entity Name	Concord Medical Group Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567

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. Trace Heavener 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
Trace Heavener, DO 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4595	Trace Heavener, DO 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527 Ph: (208) 625-4595

Reviews and Comments

Internal Medicine Doctors in Coeur D Alene, ID

Diana Johns, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2248 W Rosebud Ln, Coeur D Alene, ID 83814 Phone: 907-687-6248
Marc Olav Granrud, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6710
Kevin Nathaniel Brown, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-6900 Fax: 208-625-6910
Edward J Macinerney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251
Pablo Fernando Michel Sanchez, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814 Phone: 208-625-5250 Fax: 208-625-5251
Dr. Amanda Rose Liggett, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-765-1494
Dr. Robert Scoggins, M.D., PH.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-765-1252 Fax: 208-765-1494

Trace Heavener, DO - Medicare Internal Medicine in Coeur D Alene, ID