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Jeffrey S Heinle

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JEFFREY HEINLE.

Based on the most recent information from CMS, provider Jeffrey S Heinle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1568542827
Provider Type
Individual
Full Name
Heinle, Jeffrey S
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/17/2006
Last Updated
3/4/2008

Contact Information

Practice Location

6621 Fannin St, Houston, TX 77030-2303

(832) 826-5731

(832) 825-1904

Mailing Location

6621 Fannin St, Houston, TX 77030-2303

(832) 826-5731

(832) 825-1905

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License K0820 Texas
Code 2086S0120X	Description Surgery Allopathic & Osteopathic Physicians	License K0820 Texas

Provider Identifiers

ID	Description	Issuer
ID 102410103	Description Medicaid	Issuer Unlisted Texas

Jeffrey S Heinle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rascoe, Philip A

Moon, Marc R

Reul, Ross M

Ouzounian, Maral

Troncone, Michael

Chen, Peter Chang

Yoneyama, Fumiya

Salazar, Jorge D.

Mckenzie, Emmett D.

Nazari-Shafti, Mir Timo Zadegh