Gary D Heath, LCSW, LMFT is a
Marriage & Family Therapist based in Elm Grove, Wisconsin. Gary D Heath is licensed to practice in Wisconsin (license number 339-124) and his current practice location is
12970 W Bluemound Rd, Suite 105, Elm Grove, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 787-2904.
NPI number for Gary D Heath is 1104981653 and his current mailing address is 62 E Rossman St, Hartford, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104981653.
Healthcare Provider's Profile
Full Name | Gary D Heath |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 12970 W Bluemound Rd, Elm Grove, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104981653
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Gary D Heath such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104981653 | NPI | - | NPPES |
40955300 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2027-123 (Wisconsin) | Primary |
106H00000X | Marriage & Family Therapist | 339-124 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary D Heath is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gary D Heath, LCSW, LMFT 62 E Rossman St, Hartford, WI 53027-1237 Ph: (262) 673-3522 | Gary D Heath, LCSW, LMFT 12970 W Bluemound Rd, Suite 105, Elm Grove, WI 53122-2607 Ph: (262) 787-2904 |
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