| Heather Hall, PA-C | |
|
15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | |
| (586) 573-8030 | |
| Not Available |
| Full Name | Heather Hall |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 15855 19 Mile Rd, Clinton Twp, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619227048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008884 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Health Macomb Hospital | Clinton township, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Macomb Hospital Corporation | 7911808381 | 349 |
| Kettering Independent Medical Group Inc | 3173710936 | 699 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Jawad a Shah MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20180514000575 |
| Entity Name | Henry Ford Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184389876 PECOS PAC ID: 6901296110 Enrollment ID: O20211202000908 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Hall, PA-C 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 573-8030 | Heather Hall, PA-C 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 Ph: (586) 573-8030 |
Ms. Leeann Wickens, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-203-1940 |
Diane Stephanie Kaczmarek, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36367 Harper Ave, Clinton Twp, MI 48035 Phone: 586-791-6868 Fax: 586-791-5071 |
Tyler Wundrach, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-2320 Fax: 586-203-1050 |
Holly Alderman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 43740 Garfield Rd, Clinton Twp, MI 48038 Phone: 586-228-0270 Fax: 586-228-9019 |
Jamie Rae Hutchison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 39836 Baroque Blvd, Clinton Twp, MI 48038 Phone: 501-606-0887 |
Nicole Vandamme, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd Ste 3a, Clinton Twp, MI 48038 Phone: 586-236-2370 |
Katherine Elizabeth Wasek, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16510 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-263-7200 |