Dr Jon David Heaverlo, OD is a medicare enrolled "Optometrist" provider in Chariton, Iowa. He went to Illinois College Of Optometry At Chicago and graduated in 2000 and has 24 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Osceola Vision Center Pc and his current practice location is
131 N Main St, Chariton, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 774-7507.
Dr Jon David Heaverlo is licensed to practice in Iowa (license number 02187) 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 1669437968.
Healthcare Provider's Profile
| Full Name | Dr Jon David Heaverlo |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 24 Years |
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| Location | 131 N Main St, Chariton, Iowa |
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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:
- Dr Jon David Heaverlo attended and graduated from Illinois College Of Optometry At Chicago in 2000
NPI Data:
- NPI Number: 1669437968
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 09/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 2668416181
- Enrollment ID: I20050615000922
Medical Identifiers
Medical identifiers for Dr Jon David Heaverlo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669437968 | NPI | - | NPPES |
| 26830 | Other | IA | BCBS OSCEOLA |
| 0277610001 | Other | IA | CMERC OVC |
| 0277610002 | Other | IA | DMERC CVC |
| 26834 | Other | IA | BCBS CHARITON |
| 0277610004 | Other | IA | DMERC OTT |
| 6219121 | Medicaid | IA | |
| 5219121 | Medicaid | IA | |
| 821921 | Medicaid | IA | |
| 34213 | Other | IA | BCBS OTTUMWA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 02187 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Osceola Vision Center Pc | 9537151261 | 3 |
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. Dr Jon David Heaverlo allows following entities to bill medicare on his behalf.
| Provider Name | Osceola Vision Center Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891832788
PECOS PAC ID: 9537151261
Enrollment ID: O20040401000632 |
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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. Dr Jon David Heaverlo 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 |
|---|
Dr Jon David Heaverlo, OD
915 N 5th St,
Chariton, IA 50049-1238
Ph: (641) 774-7507 | Dr Jon David Heaverlo, OD
131 N Main St,
Chariton, IA 50049-1270
Ph: (641) 774-7507 |
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