| Jessica Hathaway, | |
|
2450 Walton Blvd, Rochester Hills, MI 48309-1481 | |
| (248) 650-0096 | |
| Not Available |
| Full Name | Jessica Hathaway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2450 Walton Blvd, Rochester Hills, 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 |
|---|---|---|---|
| 1366114746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704336511 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Rochester Hospital | Rochester, MI | Hospital |
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Trinity Health Oakland Hospital | Pontiac, MI | Hospital |
| Corewell Health William Beaumont University Hospit | Royal oak, MI | Hospital |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan United Physicians Pc | 4385614221 | 7 |
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 493 |
| Entity Name | Michigan United Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447330642 PECOS PAC ID: 4385614221 Enrollment ID: O20040728001366 |
| Entity Name | Michigan Healthcare Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Hathaway, 2450 Walton Blvd, Rochester Hills, MI 48309-1481 Ph: (248) 650-0096 | Jessica Hathaway, 2450 Walton Blvd, Rochester Hills, MI 48309-1481 Ph: (248) 650-0096 |
Ms. Tracey Renee Ticcony, N.P.C. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 455 Barclay Cir, Suite D, Rochester Hills, MI 48307 Phone: 248-852-9596 Fax: 248-852-9453 |
Mrs. Jennifer Marie Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2863 Corinthia Dr, Rochester Hills, MI 48309 Phone: 586-244-9359 |
Mimoza Zaka, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 289 Essex Dr, Rochester Hills, MI 48307 Phone: 248-247-6811 |
Rachel Ellen Sabbath, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 441 S Livernois Rd Ste 100, Rochester Hills, MI 48307 Phone: 248-608-8800 |
Jahnvi Patel, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Monterey Ln, Rochester Hills, MI 48307 Phone: 248-835-4628 |
Leeanne Attiq, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2863 S Rochester Rd,, Rochester Hills, MI 48307 Phone: 947-217-3600 |
Monique Walk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 South Blvd E Ste 300, Rochester Hills, MI 48307 Phone: 248-884-9710 Fax: 248-884-9711 |