Barbara Heenan, NP is a
Nurse Practitioner based in St Joseph, Michigan. Barbara Heenan is licensed to practice in Michigan (license number 4704096337) and her current practice location is
2522 Niles Ave, St Joseph, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 983-3364.
NPI number for Barbara Heenan is 1275629727 and her current mailing address is Po Box 480, Lakeside Heatlhcare Specialists, St Joseph, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275629727.
Provider's Profile
Full Name | Barbara Heenan |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2522 Niles Ave, St Joseph, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275629727
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 01/12/2010
Medical Identifiers
Medical identifiers for Barbara Heenan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275629727 | NPI | - | NPPES |
0A110280 | Other | MI | BCBS |
500011564 | Other | MI | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 4704096337 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Barbara Heenan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Barbara Heenan, NP Po Box 480, Lakeside Heatlhcare Specialists, St Joseph, MI 49085 Ph: (269) 983-8900 | Barbara Heenan, NP 2522 Niles Ave, St Joseph, MI 49085 Ph: (269) 983-3364 |
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