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Heather Mcdonald

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862

PECOS Enrollment

Based on the most recent information from CMS, provider Heather Mcdonald is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679310528
Provider Type
Individual
Full Name
Mcdonald, Heather
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/9/2024
Last Updated
7/9/2024

Contact Information

Practice Location

584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862

(916) 251-3063

Unlisted Fax

Mailing Location

226 Winding Canyon Ln, Folsom, CA 95630-5014

(408) 317-8453

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Heather Mcdonald

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Vennik, Anthony T

Lee, Bei Bei

Lowe, William Jame

Smith, John Dewey

Blecher, Marcia

Seleh, Daniela

Vassallo, Nancy Jo

Randall, Alison L

Nelson, Gary Duane

Nugent, Christopher P