DR. GWENDOLYN HEATON MD
NPI 1164478939
Psychiatry & Neurology - Psychiatry in Madison, IN
About Dr. Gwendolyn Heaton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GWENDOLYN HEATON MD (NPI 1164478939) is an individual psychiatry provider in Madison, Indiana, licensed in Indiana (01035782) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gwendolyn Heaton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47250 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gwendolyn Heaton's NPI number?
The NPI number for Gwendolyn Heaton is 1164478939. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Gwendolyn Heaton located?
Gwendolyn Heaton practices at 711 Green Rd, Madison, IN 47250. The listed phone number is (812) 265-2611.
What is Gwendolyn Heaton's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Gwendolyn Heaton enrolled in Medicare?
Yes. Gwendolyn Heaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Gwendolyn Heaton accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan list Gwendolyn Heaton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gwendolyn Heaton was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
