Individual ProviderJessica HeyrmanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669(414) 649-6780(800) 326-2250PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Heyrman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:26 AM.Profile DetailsProvider ID1932823812Provider TypeIndividualFull NameHeyrman, JessicaCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date10/3/2022Last Updated11/5/2024Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669Phone(414) 649-6780Fax(414) 649-6030Mailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(800) 326-2250FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense7121WisconsinProvider IdentifiersIDDescriptionIssuerID100219399DescriptionMedicaidIssuerUnlistedWisconsin