DR. THOMAS JAMES HERIZA MD NPI 1083775035
Psychiatry & Neurology - Psychiatry in Bozeman, MT
About DR. THOMAS JAMES HERIZA MD
Thomas Heriza is a provider established in Bozeman, Montana and his medical specialization is Psychiatry & Neurology with a focus in psychiatry . The NPI number of this provider is 1083775035 and was assigned on December 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 12436 (MT). The provider is registered as an individual and his NPI record was last updated 5 years ago.
| NPI | 1083775035 |
| Provider Name | DR. THOMAS JAMES HERIZA MD |
| Location Address | 1871 S 22ND AVE STE 3 BOZEMAN, MT 59718 |
| Location Phone | (406) 585-3584 |
| Mailing Address | 1871 S. 22ND AVE STE 3 BOZEMAN, MT 59718 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 12-13-2006 |
| Last Update Date | 04-04-2018 |
A psychiatrist like Thomas Heriza are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.Thomas Heriza is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Thomas Heriza opted out of Medicare effective on 09-13-2017 until 09-13-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2084P0800X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Psychiatry |
| License No. | 12436 |
| License State | MT |
| Taxonomy Description | A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1871 S 22ND AVE STE 3
BOZEMAN, MT
ZIP 59718
Phone: (406) 585-3584
Fax: (406) 534-0411
Mailing Address
1871 S. 22ND AVE STE 3
BOZEMAN, MT
ZIP 59718
Phone: (406) 585-3584
Fax: (406) 534-0411
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Opted-Out of Medicare | Yes |
| Opt-Out Effective Date | 09-13-2017 |
| Opt-Out End Date | 09-13-2023 |
| Eligible to Order and Refer | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 150582 | MEDICAID (05) | OR |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 7 | 7 | 5 | 0 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 14 | 7 | 10 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 4 + 7 + 1 + 0 + 0 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1083775035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386981678 | REBECCA J POGODA APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1871 S 22ND AVE STE 3 BOZEMAN, MT 59718 (406) 404-6769 |
| 1073984019 | JEFF GREEN MD PC Organization | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1871 S 22ND AVE STE 3 BOZEMAN, MT 59718 (406) 582-9306 |
| 1770522831 | JEFFREY SCOTT GREEN MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1871 S 22ND AVE STE 3 BOZEMAN, MT 59718 (406) 582-9306 |
| 1245284363 | MRS. SUSANNA TURNER DARR APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1871 S 22ND AVE STE 3 BOZEMAN, MT 59718 (406) 404-6814 |
| 1912542861 | BENJAMIN BYRON EGBERS DNP, APRN, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1871 S 22ND AVE STE 3 BOZEMAN, MT 59718 (406) 506-5762 |
Frequently Asked Questions
What is Dr. Thomas Heriza MD NPI number?
The NPI number assigned to this healthcare provider is 1083775035, registered as an "individual" on December 13, 2006
Where is Dr. Thomas Heriza MD located?
The provider is located at 1871 S 22nd Ave Ste 3 Bozeman, Mt 59718 and the phone number is (406) 585-3584
Which is Dr. Thomas Heriza MD specialty?
The provider's speciality is Psychiatry & Neurology with a focus in Psychiatry
What insurance does Dr. Thomas Heriza MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Thomas Heriza MD registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Does Dr. Thomas Heriza MD accepts Medicare?
No, the provider signed an affidavit on September 13, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 13, 2023.
How do I update my NPI information?
The NPI record of Dr. Thomas Heriza MD was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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