| Heather Walters, PA-C | |
|
150 Brooklyn St, Carbondale, PA 18407-2274 | |
| (570) 282-2031 | |
| (570) 282-2534 |
| Full Name | Heather Walters |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 150 Brooklyn St, Carbondale, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104027770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA051005 (Pennsylvania) | Primary |
| Entity Name | Wayne Memorial Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Walters, PA-C 1100 Meade St, Dunmore, PA 18512-3169 Ph: (570) 342-3675 | Heather Walters, PA-C 150 Brooklyn St, Carbondale, PA 18407-2274 Ph: (570) 282-2031 |
Kathryn Kraycer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Dundaff St, Carbondale, PA 18407 Phone: 570-282-1404 Fax: 570-281-3373 |
Mrs. Ann Bridget Diehl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 254 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-3347 |
Mrs. Theresa Micknick, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 165 Fallbrook St, Carbondale, PA 18433 Phone: 570-282-3151 |
Miss Sharon Marie Savakinas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534 |
Jacqueline Marie Hillriegel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Brooklyn St, Carbondale, PA 18407 Phone: 570-281-8594 |
Mrs. Ashley Sue Machiesky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Lincoln Ave, Carbondale, PA 18407 Phone: 888-380-0342 |
Mr. Kenneth John Bannon, BSPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Salem Avenue, Suite 302, Carbondale, PA 18407 Phone: 570-282-2031 Fax: 570-282-2534 |