| Jonathan R Hayward, PAC | |
|
3515 Murray St, Marinette, WI 54143-3367 | |
| (715) 732-0699 | |
| (715) 732-3522 |
| Full Name | Jonathan R Hayward |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 3515 Murray St, Marinette, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851334395 | NPI | - | NPPES |
| 41946800 | Medicaid | WI | |
| 1593-023 | Other | WI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1593-23 (Wisconsin) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1593023 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Francis Hospital | Escanaba, MI | Hospital |
| Marshfield Medical Center | Iron mountain, MI | Hospital |
| Marshfield Medical Center | Iron mountain, MI | Hospital |
| Up Health System - Marquette | Marquette, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concierge Dermatology And Skin Surgery Center | 8123377405 | 4 |
| St Francis Hospital | 5991604753 | 85 |
| Complexcare Medical Group Midwest H Pllc | 0143737148 | 128 |
| Entity Name | St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700828837 PECOS PAC ID: 5991604753 Enrollment ID: O20031231000428 |
| Entity Name | Concierge Dermatology & Skin Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417442898 PECOS PAC ID: 8123377405 Enrollment ID: O20180820002512 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Complexcare Medical Group Midwest H PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457144933 PECOS PAC ID: 0143737148 Enrollment ID: O20250815000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Hayward, PAC 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Jonathan R Hayward, PAC 3515 Murray St, Marinette, WI 54143-3367 Ph: (715) 732-0699 |
Brooke Elizabeth Berg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 920-490-9046 |
Mr. Colin Van Pay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Nicholas Patrick Grimm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3515 Murray St, Marinette, WI 54143 Phone: 715-732-0699 Fax: 715-732-3522 |
Elizabeth Devries, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2741 Roosevelt Rd, Marinette, WI 54143 Phone: 715-732-1392 |
Ashley Nichole Huntley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Marie Frances Dobratz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |
Leslie Pranger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 |