Dr Glen Joseph Heinzl, MD is a
Family Medicine physician based in New Lisbon, Wisconsin. Dr Glen Joseph Heinzl is licensed to practice in Wisconsin (license number 22801) and his current practice location is 2000 Progress Drive, New Lisbon, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 562-6400.
NPI number for Dr Glen Joseph Heinzl is 1356495444 and his current mailing address is N11015 19th Ave., P.o. Box 499, Necedah, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356495444.
Physician's Profile
| Full Name | Dr Glen Joseph Heinzl |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2000 Progress Drive, New Lisbon, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356495444
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Glen Joseph Heinzl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356495444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 22801 (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. Dr Glen Joseph Heinzl 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 |
|---|
Dr Glen Joseph Heinzl, MD
N11015 19th Ave., P.o. Box 499,
Necedah, WI 54646
Ph: (608) 565-7771 | Dr Glen Joseph Heinzl, MD
2000 Progress Drive,
New Lisbon, WI 53950-2000
Ph: (608) 562-6400 |
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