Janet Delores Heasley, D.O.
Individual provider Active NPI Psychiatry Physician · Ortonville, MI
NPI 1639242514 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1639242514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 5101013119 (MI)
- Practice address
- 380 Mill St
Ortonville, MI 48462-8721 - Phone
- (248) 627-7682
- Fax
- (248) 627-7685
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Michigan State University College of Osteopathic Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Recovery Pathways LLC
Practice addresses (Care Compare)
1009 Washington Ave
Bay City, MI 48708-5705
Phone (989) 928-3566
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070516000193 | MI | Practitioner - Psychiatry | 7416054028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- recoverypathways.janetheasley@146773.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101013119 | MI | Yes |
Addresses
Primary practice location
380 Mill St
Ortonville, MI 48462-8721
Mailing address
957 Evergreen RDG
Ortonville, MI 48462-9746
Phone (248) 627-5066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114139715 | Medicaid | MI |
Other providers in Ortonville, MI
- Lynette Marie Griffin
- Koiki Xan Hallberg
- Angela Lynn Harrell
- Royann Marie Hassinger
- Susan A Hawley
- Elena Guadalupe Hopkins
- Alexis Johnson
- Jennifer Kayner
- Krysten Chamberlain
- Ronald Paul Lane
All providers in Ortonville, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.