Dr Brian J Hettrick, MD | |
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
(262) 884-4088 | |
Not Available |
Full Name | Dr Brian J Hettrick |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 8400 Washington Ave, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942262712 | NPI | - | NPPES |
32558300 | Medicaid | WI | |
P00248375 | Other | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 41149 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Alliance | Pleasant prairie, WI | Hospice |
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian J Hettrick, MD 25405 103rd St, Salem, WI 53168-8915 Ph: (262) 909-8169 | Dr Brian J Hettrick, MD 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4088 |
Ms. Priya Ramdass, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3000 Fax: 262-321-3011 | |
Amy P Kelly, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3000 | |
Dr. Angelo B Reyes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5801 Washington Ave, Ste 99, Mount Pleasant, WI 53406 Phone: 913-359-6001 Fax: 913-359-5552 | |
Michael Pothen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Victoria C Quinn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Christopher Vincent Cataldi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Dr. Mathew Pothen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 |