| Heather N Heineman, PA-C | |
|
13131 Tesson Ferry Rd, Suite 205, Saint Louis, MO 63128-3887 | |
| (314) 729-9100 | |
| Not Available |
| Full Name | Heather N Heineman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 13131 Tesson Ferry Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659768836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.005417 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 2015007178 (Missouri) | Primary |
| Entity Name | Southeastern Emergency Physicians of Memphis LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
| Entity Name | Southeastern Emergency Services of Memphis PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather N Heineman, PA-C 13131 Tesson Ferry Rd, Suite 205, Saint Louis, MO 63128-3887 Ph: (314) 729-9100 | Heather N Heineman, PA-C 13131 Tesson Ferry Rd, Suite 205, Saint Louis, MO 63128-3887 Ph: (314) 729-9100 |
Bryon Lucas Beck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd, Building B, Suite 202, Saint Louis, MO 63131 Phone: 314-995-6893 |
Ms. Cheryl Anne Woolsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 314-747-1171 Fax: 314-362-7086 |
Amanda Monteleone, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 Phone: 314-251-1700 |
Taylor Nicole Melgar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100 |
Kaitlyn Sturmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128 Phone: 314-525-1224 Fax: 314-525-4957 |
Ms. Keeley Ferrell Ryan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-1320 |
Mr. Leslie Tharon Cranick, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128 Phone: 314-843-8000 Fax: 314-843-3004 |