Jenna Marie Waterman (NPI# 1780156299, PAC ID# 3173869914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1780156299 |
| PAC ID by PECOS | 3173869914 |
| Professional Enrollment ID | I20190115002268 |
| Full Name | Jenna Marie Waterman |
| Organization Legal Name | QHG OF FORT WAYNE COMPANY LLC |
| Address |
1980 N Main St Bluffton IN 46714-4100 |
| Phone Number | 2603532190 |
| Gender | F |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628988367 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| Address | Phone | Organization |
|---|---|---|
| 1980 N Main St, Bluffton, IN 46714-4100 | 2603532190 | QHG OF FORT WAYNE COMPANY LLC |
| 11635 Coldwater Rd, Fort Wayne, IN 46845-1256 | 2606371661 | QHG OF FORT WAYNE COMPANY LLC |
| 203 E Berry St, Fort Wayne, IN 46802-2724 | 2604583950 | QHG OF FORT WAYNE COMPANY LLC |
| 3717 Maplecrest Rd, Fort Wayne, IN 46815-8424 | 2604867334 | QHG OF FORT WAYNE COMPANY LLC |
| 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2604583830 | QHG OF FORT WAYNE COMPANY LLC |
| 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2603591250 | QHG OF FORT WAYNE COMPANY LLC |
| 1302 Minnich Rd, New Haven, IN 46774-2052 | 2604583821 | QHG OF FORT WAYNE COMPANY LLC |
| Organization Legal Name | QHG OF FORT WAYNE COMPANY LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Campbell | Nurse Practitioner | Qhg of Fort Wayne Company LLC | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 |
| Roland D Stuckey | Family Medicine | Qhg of Fort Wayne Company LLC | 1415 Flaxmill Rd, Huntington, IN 46750-8806 |
| Rhoda L Wicker | Nurse Practitioner | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| David B Beeson | Family Medicine | Qhg of Fort Wayne Company LLC | 1415 Flaxmill Rd, Huntington, IN 46750-8806 |
| Hannah Victoria Duggan | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Michael L Steveley | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Laura Mccall | Physician Assistant | Qhg of Fort Wayne Company LLC | 1415 Flaxmill Rd, Huntington, IN 46750-8806 |
| Joshua Ryan Fairbanks | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Paul Hayes | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Abbie Diane Evans | Nurse Practitioner | Qhg of Fort Wayne Company LLC | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 |
| Street Address |
1980 N MAIN ST |
| City | BLUFFTON |
| State | IN |
| Zip | 46714-4100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhoda L Wicker | Nurse Practitioner | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Hannah Victoria Duggan | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Michael L Steveley | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Joshua Ryan Fairbanks | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Paul Hayes | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Delynn H Elzey | Family Medicine | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Angela Rachelle Miedema | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Alyssa J Malone | Nurse Practitioner | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Rylie Nicole Ousley | Nurse Practitioner | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Ramona F Bauch | Physician Assistant | Qhg of Fort Wayne Company LLC | 1980 N Main St, Bluffton, IN 46714-4100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Frye | Optometry | Matthew D. Mitchell O.d., LLC | 105 W Harvest Rd, Bluffton Family Eye Care, Bluffton, IN 46714-0374 |
| Julayne A Miller | Optometry | Matthew D. Mitchell O.d., LLC | 105 W Harvest Rd, Bluffton Family Eye Care, Bluffton, IN 46714-0374 |
| Matthew David Mitchell | Optometry | Matthew D. Mitchell O.d., LLC | 105 W Harvest Rd, Bluffton Family Eye Care, Bluffton, IN 46714-0374 |
| Randy J Shideler | Chiropractic | 753 N Main, Bluffton, IN 46714-1313 | |
| Perry S Johnson | Chiropractic | 715 N Main St, Bluffton, IN 46714-1313 | |
| Richard J Schamerloh | Optometry | Eyecare Associates of Bluffton, LLP | 980 N Main St, Bluffton, IN 46714-1316 |
| Jill D Roth | Optometry | Eyecare Associates of Bluffton, LLP | 980 N Main St, Bluffton, IN 46714-1316 |
| Ryan C Gustus | Optometry | Eyecare Associates of Bluffton, LLP | 980 N Main St, Bluffton, IN 46714-1316 |
| Amy Lai | Otolaryngology | Ear, Nose and Throat Associates, PC | 1169 N Main St, Suite 5, Bluffton, IN 46714-1360 |
| Michelle L Toth | Chiropractic | 1169 N Main St, Suite 6, Bluffton, IN 46714-1362 | |
| Find all physicians in zip 46714 | |||
| City | BLUFFTON |
| Zip Code | 46714 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLUFFTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jenna Marie Waterman.
| 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.