Michael J Heidtman, is a
Social Worker - Clinical based in Little Chute, Wisconsin. Michael J Heidtman is licensed to practice in Wisconsin (license number 8764-123) and his current practice location is
103 W Greenfield Dr, Little Chute, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(906) 362-8544.
NPI number for Michael J Heidtman is 1285213124 and his current mailing address is 103 W Greenfield Dr, Little Chute, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285213124.
Healthcare Provider's Profile
Full Name | Michael J Heidtman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 103 W Greenfield Dr, Little Chute, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285213124
- Provider Enumeration Date: 04/07/2021
- Last Update Date: 04/07/2021
Medical Identifiers
Medical identifiers for Michael J Heidtman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285213124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 8764-123 (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. Michael J Heidtman 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 |
Michael J Heidtman, 103 W Greenfield Dr, Little Chute, WI 54140-1115 Ph: (906) 362-8544 | Michael J Heidtman, 103 W Greenfield Dr, Little Chute, WI 54140-1115 Ph: (906) 362-8544 |
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