Kathleen A Heinze, MS,RD,LDN is a
Dietitian, Registered based in Goreville, Illinois. Kathleen A Heinze is licensed to practice in Illinois (license number 164.003017) and her current practice location is
60 Eagle Dr, Goreville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 889-7607.
NPI number for Kathleen A Heinze is 1861649089 and her current mailing address is 60 Eagle Dr, Goreville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861649089.
Healthcare Provider's Profile
Full Name | Kathleen A Heinze |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 60 Eagle Dr, Goreville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861649089
- Provider Enumeration Date: 08/19/2008
- Last Update Date: 08/19/2008
Medical Identifiers
Medical identifiers for Kathleen A Heinze such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861649089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.003017 (Illinois) | 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. Kathleen A Heinze 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 |
Kathleen A Heinze, MS,RD,LDN 60 Eagle Dr, Goreville, IL 62939-3106 Ph: (618) 889-7607 | Kathleen A Heinze, MS,RD,LDN 60 Eagle Dr, Goreville, IL 62939-3106 Ph: (618) 889-7607 |
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