Jon S Heist Do Pa | |
361 N Main St Glassboro NJ 08028 | |
(856) 881-8618 | |
(856) 881-5368 |
Full Name | Jon S Heist Do Pa |
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Speciality | Family Medicine |
Location | 361 N Main St, Glassboro, New Jersey |
Authorized Official Name and Position | Jen S Heist (PRESIDENT PHYSICIAN) |
Authorized Official Contact | 8568818618 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jon S Heist Do Pa 361 N Main St Glassboro NJ 08028 Ph: (856) 881-8618 | Jon S Heist Do Pa 361 N Main St Glassboro NJ 08028 Ph: (856) 881-8618 |
NPI Number | 1467467175 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2961472618 |
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Medicare Enrollment ID | O20040729000529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467467175 | NPI | - | NPPES |
8091609 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jon S Heist |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760501373 PECOS PAC ID: 6002802899 Enrollment ID: I20040426000784 |
Provider Name | Heather C Wilmore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194123133 PECOS PAC ID: 4981920626 Enrollment ID: I20150224001112 |
Rowan Wellness Center - Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Mullica Hill Rd, Winans Hall, Glassboro, NJ 08028 Phone: 856-256-4333 Fax: 856-256-4427 | |
Inspira Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Delsea Dr N, Glassboro, NJ 08028 Phone: 856-205-7071 | |
Underwood-memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Delsea Dr N, Glassboro, NJ 08028 Phone: 856-582-0500 Fax: 856-582-0163 | |
Completecare Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 Delsea Dr N, Units 3, 4, & 5, Glassboro, NJ 08028 Phone: 856-451-4700 Fax: 856-575-0818 | |
American Workcare, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1125 North Delsea Dr, Glassboro, NJ 08028 Phone: 856-218-7600 Fax: 856-218-7800 | |
Kennedy Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 N Main St, Glassboro, NJ 08028 Phone: 844-542-2273 |