James Davidson Heffernan Jr, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakewood, New Jersey. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northeast Medical Group Inc, North American Partners In Anesthesia Of New Jersey Llc, Park Slope Anesthesia Associates Pc and his current practice location is
360 Route 70, Lakewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 942-9835.
James Davidson Heffernan Jr is licensed to practice in New Jersey (license number 26NJ14870500) 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 1407214224.
Provider's Profile
| Full Name | James Davidson Heffernan Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 19 Years |
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| Location | 360 Route 70, Lakewood, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- James Davidson Heffernan Jr graduated from nursing school in 2007
NPI Data:
- NPI Number: 1407214224
- Provider Enumeration Date: 02/08/2016
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274830468
- Enrollment ID: I20210127001445
Medical Identifiers
Medical identifiers for James Davidson Heffernan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407214224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 164262 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 20984 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ14870500 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northeast Medical Group Inc | 1254233836 | 1287 |
| North American Partners In Anesthesia Of New Jersey Llc | 5890867410 | 147 |
| Park Slope Anesthesia Associates Pc | 3870483860 | 59 |
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. James Davidson Heffernan Jr allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20170518000594 |
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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. James Davidson Heffernan Jr 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 |
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James Davidson Heffernan Jr,
1924 Alcoa Hwy, Box U109,
Knoxville, TN 37920-1511
Ph: (865) 305-9220 | James Davidson Heffernan Jr,
360 Route 70,
Lakewood, NJ 08701-5823
Ph: (732) 942-9835 |
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