Diane G Heatley, MD is a
Otolaryngology - Pediatric Otolaryngology physician based in Fitchburg, Wisconsin. Diane G Heatley is licensed to practice in Wisconsin (license number 29448-20) and her current practice location is 3050 Bosshard Dr, Fitchburg, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 273-0375.
NPI number for Diane G Heatley is 1396793444 and her current mailing address is 3050 Bosshard Dr, Fitchburg, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396793444.
Physician's Profile
Full Name | Diane G Heatley |
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Gender | Female |
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Speciality | Otolaryngology - Pediatric Otolaryngology |
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Location | 3050 Bosshard Dr, Fitchburg, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396793444
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 05/25/2021
Medical Identifiers
Medical identifiers for Diane G Heatley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396793444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 29448-20 (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. Diane G Heatley 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 |
Diane G Heatley, MD 3050 Bosshard Dr, Fitchburg, WI 53711-5860 Ph: () - | Diane G Heatley, MD 3050 Bosshard Dr, Fitchburg, WI 53711-5860 Ph: (608) 273-0375 |
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