| Heather L John, RN, PMHNP | |
| 
					2458 Stetzer Rd, Bucyrus, OH 44820-2066  | |
| (419) 562-2000 | |
| Not Available | 
| Full Name | Heather L John | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 2458 Stetzer Rd, Bucyrus, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447021076 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.520706 (Ohio) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037096 (Ohio) | Primary | 
| Entity Name | Third Street Community Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649599119 PECOS PAC ID: 2365423977 Enrollment ID: O20040528000770  | 
| Entity Name | Third Street Community Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency | 
| Entity Identifiers | NPI Number: 1336252519 PECOS PAC ID: 2365423977 Enrollment ID: O20071009000076  | 
| Entity Name | Third Street Community Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629620109 PECOS PAC ID: 2365423977 Enrollment ID: O20200520001554  | 
| Entity Name | Third Street Community Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669158838 PECOS PAC ID: 2365423977 Enrollment ID: O20230807001755  | 
| Entity Name | Third Street Community Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861170565 PECOS PAC ID: 2365423977 Enrollment ID: O20231215002895  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heather L John, RN, PMHNP 2458 Stetzer Rd, Bucyrus, OH 44820-2066 Ph: (419) 562-2000  | Heather L John, RN, PMHNP 2458 Stetzer Rd, Bucyrus, OH 44820-2066 Ph: (419) 562-2000  | 
Mrs. Janelle Jean Baldosser, MSN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 N Sandusky Ave, Suite 4, Bucyrus, OH 44820 Phone: 740-383-8665  | |
Lisa K Sgambellone, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677 Fax: 419-462-5372  | |
Brynn Marie Hall,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N Sandusky Ave Ste 1, Bucyrus, OH 44820 Phone: 419-562-7557  | |
Jessica M Hannan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 N Sandusky Ave, Bucyrus, OH 44820 Phone: 419-562-4677  | |
Mr. Jason Suleiman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2458 Stetzer Rd, Bucyrus, OH 44820 Phone: 419-562-2000 Fax: 419-562-1296  | |
Mrs. Jennifer Lee Link, C.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N Sandusky Ave Ste 1, Bucyrus, OH 44820 Phone: 419-562-7557  | |
Mrs. Angela Nichole Ciroli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2458 Stetzer Rd, Bucyrus, OH 44820 Phone: 419-563-0530  |