| Heather K Heutsche, CRNP | |
|
905 Sahara Trl, Poland, OH 44514-3687 | |
| (330) 729-8970 | |
| (330) 729-8971 |
| Full Name | Heather K Heutsche |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 905 Sahara Trl, Poland, Ohio |
| 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 |
|---|---|---|---|
| 1265917538 | NPI | - | NPPES |
| 0370139 | Medicaid | OH | |
| SP019772 | Other | PA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F11180401 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.025389 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family First Swiftcare Llc | 9638350093 | 7 |
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 388 |
| Entity Name | Family First Swiftcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982936746 PECOS PAC ID: 9638350093 Enrollment ID: O20110218000448 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather K Heutsche, CRNP 905 Sahara Trl, Poland, OH 44514-3687 Ph: (330) 729-8970 | Heather K Heutsche, CRNP 905 Sahara Trl, Poland, OH 44514-3687 Ph: (330) 729-8970 |
Amanda L. Roeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd Fl 2, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-306-8319 | |
Nicole Lynn Sesser, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Lorene Martin, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Southwestern Run, Poland, OH 44514 Phone: 330-729-0059 Fax: 330-729-9297 | |
Jason Joseph Koenig, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 | |
Jodi Micsky, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 E Western Reserve Rd, Poland, OH 44514 Phone: 330-726-3204 Fax: 330-729-9316 | |
Mrs. Gabrielle Eisel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9190 Springfield Rd Apt 19c, Poland, OH 44514 Phone: 234-567-1698 |