Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack William Heidenreich, MD

Individual provider Family Medicine Physician · NPI 1316944374

Jack William Heidenreich, MD is a Family Practice in Raceland, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1989, 37 years ago. Practices with Ochsner Clinic LLC, a 2,842-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
37
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Acadia Dr
Raceland, LA 70394-2619
Phone: (985) 537-7575
Fax: (985) 537-7584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.020478 (LA)

Record details

NPI number1316944374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2005
Last updated in NPPESAugust 23, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1989 (37 years in practice)
Group practice Ochsner Clinic Llc — 2842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Raceland