Jessica Eleanor Heron (NPI# 1770081002, PAC ID# 6103186127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1770081002 |
PAC ID by PECOS | 6103186127 |
Professional Enrollment ID | I20180212001306 |
Full Name | Jessica Eleanor Heron |
Organization Legal Name | CRYSTAL LAKE CLINIC PC |
Address |
6227 Frankfort Hwy Benzonia MI 49616-8632 |
Phone Number | 2318829661 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0648259010 |
Number of Group Practice Members | 36 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
231300 | PAUL OLIVER MEMORIAL HOSPITAL |
230097 | MUNSON MEDICAL CENTER |
230303 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
Address | Phone | Organization |
---|---|---|
6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2318829661 | CRYSTAL LAKE CLINIC PC |
4025 Chums Village Dr, Traverse City, MI 49685-6992 | 2316425560 | CRYSTAL LAKE CLINIC PC |
Organization Legal Name | CRYSTAL LAKE CLINIC PC |
Physicians | 42 |
Name | Specialty | Organization | Address |
---|---|---|---|
Becky Lynn Porter | Nurse Practitioner | Crystal Lake Clinic PC | 115 E 7th St, Manton, MI 49663-9429 |
Danielle Koch | Nurse Practitioner | Crystal Lake Clinic PC | 6170 Us Hwy 31 N, Williamsburg, MI 49690-9306 |
Emily L Fader | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Karen Lynn Volas | Nurse Practitioner | Crystal Lake Clinic PC | 1975 Stirling Dr, Interlochen, MI 49643-9264 |
George B Ryckman | Family Medicine | Crystal Lake Clinic PC | 8225 Lake St, Bear Lake, MI 49614-9612 |
Michael F Carroll | Family Medicine | Crystal Lake Clinic PC | 2283 E M, Suite 113, Kingsley, MI 49649-9370 |
Maureen Street | Family Medicine | Crystal Lake Clinic PC | 124 Ames St, Elk Rapids, MI 49629-9449 |
Tracy Robinson | Nurse Practitioner | Crystal Lake Clinic PC | 8225 Lake St, Bear Lake, MI 49614-9612 |
Jacob Flynn | Family Medicine | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Ryan A Sullivan | Internal Medicine | Crystal Lake Clinic PC | 8225 Lake St, Bear Lake, MI 49614-9612 |
Street Address |
6227 FRANKFORT HWY |
City | BENZONIA |
State | MI |
Zip | 49616-8632 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily L Fader | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Jacob Flynn | Family Medicine | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Michelle M Macdonald | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Jennifer Carrier | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Heidi Collins | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Lindsey Banktson | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Jennifer K Dankers | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Sara L Smith | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Haley Lynn Gerstheimer | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Danielle Langlois | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Gerard Mahoney | Family Medicine | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Mark D Kuiper | Internal Medicine | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Jenna Stump | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Stephen Nash | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Mark A Priest | Family Medicine | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Debra E Swoverland | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Scott A Carlson | Family Medicine | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Nancy Dorman | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Stephanie A Smart | Nurse Practitioner | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Katherine Jane Ducharme | Physician Assistant | Crystal Lake Clinic PC | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 |
Find all physicians in zip 49616 |
City | BENZONIA |
Zip Code | 49616 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | BENZONIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jessica Eleanor Heron.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.