Heidi Dearborn, DO - Medicare Dermatology in Jbsa Lackland, TX

Heidi Dearborn, DO is a medicare enrolled "Dermatology" physician in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-5350.

Heidi Dearborn is licensed to practice in Maine (license number DO2964) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003317744.

Contact Information

Heidi Dearborn, DO
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638
(210) 292-5350
Not Available



Physician's Profile

Full NameHeidi Dearborn
GenderFemale
SpecialityDermatology
Location1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003317744
  • Provider Enumeration Date: 02/27/2018
  • Last Update Date: 03/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305212531
  • Enrollment ID: I20221013000561

Medical Identifiers

Medical identifiers for Heidi Dearborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003317744NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology DO2964 (Maine)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. Heidi Dearborn allows following entities to bill medicare on her behalf.
Entity NameEpiphany Dermatology Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457465858
PECOS PAC ID: 9830181361
Enrollment ID: O20040402000307

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› Verified 8 days ago

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. Heidi Dearborn 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
Heidi Dearborn, DO
7300 Ranch Road 2222, Building 1, Ste 200,
Austin, TX 78730

Ph: (512) 628-0465
Heidi Dearborn, DO
1100 Wilford Hall Loop,
Jbsa Lackland, TX 78236-5638

Ph: (210) 292-5350

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Dermatology Doctors in Jbsa Lackland, TX

Dr. Christopher M Edens, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Dr. Emily Beth Wong, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236
Phone: 210-292-8808    
Dr. Wendi Wohltmann, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-5350    
Shannon Patrick Buck, D.O.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-8200    Fax: 210-292-3781
Dr. Matthew Micah Malan, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236
Phone: 210-292-6225    
Dr. Marie J Han, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236
Phone: 210-292-8808    

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