Heather L Jack (NPI# 1588926950, PAC ID# 3870870058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1588926950 |
| PAC ID by PECOS | 3870870058 |
| Professional Enrollment ID | I20170426002187 |
| Full Name | Heather L Jack |
| Organization Legal Name | BESTSELF BEHAVIORAL HEALTH INC |
| Address |
1500 Broadway St Buffalo NY 14212-1845 |
| Phone Number | 7164222002 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6507856622 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1500 Broadway St, Buffalo, NY 14212-1845 | 7164222002 | BESTSELF BEHAVIORAL HEALTH INC |
| Organization Legal Name | BESTSELF BEHAVIORAL HEALTH INC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry L Corp Ii | Nurse Practitioner | Bestself Behavioral Health Inc | 254 Franklin St, Buffalo, NY 14202-1932 |
| Dina M Fisher | Nurse Practitioner | Bestself Behavioral Health Inc | 625 Delaware Ave, Suite 204, Buffalo, NY 14202-1007 |
| Lisa M Gromlovits | Clinical Social Worker | Bestself Behavioral Health Inc | 951 Niagara St, Buffalo, NY 14213-2116 |
| Jill Allison Cooke | Clinical Social Worker | Bestself Behavioral Health Inc | 255 Delaware Ave, Suite 4, Buffalo, NY 14202-2017 |
| Sridhar Nilam | Addiction Medicine | Bestself Behavioral Health Inc | 3176 Abbott Rd A, Orchard Park, NY 14127-1069 |
| Shirley J Duane | Nurse Practitioner | Bestself Behavioral Health Inc | 140 Pine St, Hamburg, NY 14075-5155 |
| Ann Marie Pasek | Nurse Practitioner | Bestself Behavioral Health Inc | 3176 Abbott Rd, Suite 500, Orchard Park, NY 14127-1069 |
| Kathleen Delano | Clinical Social Worker | Bestself Behavioral Health Inc | 254 Franklin St, Buffalo, NY 14202-1932 |
| Alyssa C Weissinger | Nurse Practitioner | Bestself Behavioral Health Inc | 254 Franklin St, Buffalo, NY 14202-1932 |
| Lynn Waldman | Clinical Social Worker | Bestself Behavioral Health Inc | 254 Franklin St, Buffalo, NY 14202-1932 |
| Street Address |
1500 BROADWAY ST |
| City | BUFFALO |
| State | NY |
| Zip | 14212-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Molloy | Internal Medicine | Sisters of Charity Hospital of Buffalo New York | 1500 Broadway St, Buffalo, NY 14212-1862 |
| James P Stephen | Internal Medicine | Sisters of Charity Hospital of Buffalo New York | 1500 Broadway St, Buffalo, NY 14212-1845 |
| Richard R Curran | Internal Medicine | Sisters of Charity Hospital of Buffalo New York | 1500 Broadway St, Buffalo, NY 14212-1845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doris M Schwartz | Optometry | 945 Broadway St, Buffalo, NY 14212-1218 | |
| Aung Ko Ko Thant | Family Medicine | Jericho Road Ministries Inc | 1021 Broadway St, Buffalo, NY 14212-1460 |
| Colleen Quinn | Family Medicine | Jericho Road Ministries Inc | 1021 Broadway St, Buffalo, NY 14212-1460 |
| City | BUFFALO |
| Zip Code | 14212 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BUFFALO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Heather L Jack.
| 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.