| Dr Jennifer Anne Heidmann, MD | |
| 
					1910 California St, Pace Humboldt Resource Center, Eureka, CA 95501  | |
| (707) 443-9747 | |
| (707) 443-3204 | 
| Full Name | Dr Jennifer Anne Heidmann | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Geriatric Medicine | 
| Location | 1910 California St, Eureka, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790881332 | NPI | - | NPPES | 
| 00A727140 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 73714 (California) | Primary | 
| Entity Name | Providence Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jennifer Anne Heidmann, MD Po Box 6860, Eureka, CA 95502-6860 Ph: (707) 443-3384  | Dr Jennifer Anne Heidmann, MD 1910 California St, Pace Humboldt Resource Center, Eureka, CA 95501 Ph: (707) 443-9747  | 
Celeste Maxine Sayles-croy, DO Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624  | |
Dr. Join Y. Luh, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4229 Fax: 707-269-3849  | |
Dr. Shyamal Kumar Maitra, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2280 Harrison Ave Ste B, C/o Eurka Internal Medicine, Eureka, CA 95501 Phone: 707-443-9371 Fax: 707-443-2620  | |
Dr. Lisa Michelle Crabtree, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-269-4253  | |
John Angel Sotelo, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Dolbeer St, St. Joseph Hospital - Eureka, Eureka, CA 95501 Phone: 707-445-8121  | |
Dr. Gloria Beth Abels, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2280 Harrison Ave, Suite B, Eureka, CA 95501 Phone: 707-443-9371  | |
Dr. Kusum G Stokes, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Walford Ave, Eureka, CA 95503 Phone: 707-443-4869 Fax: 707-442-5095  |