Dr John Nicholas Gietzen, DO | |
W5491 Windmill Ridge Rd, New Glarus, WI 53574-9489 | |
(608) 518-3654 | |
(928) 277-4942 |
Full Name | Dr John Nicholas Gietzen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 39 Years |
Location | W5491 Windmill Ridge Rd, New Glarus, 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 |
---|---|---|---|
1538178025 | NPI | - | NPPES |
F100847814 | Other | WI | PTAN |
1487274247 | Other | IL | NPI |
Z178595 | Other | AZ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4158 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brookdale Home Health | Naperville, IL | Home health agency |
Agrace Hospicecare | Madison, WI | Hospice |
Hospice Of Kankakee Valley Inc | Bourbonnais, IL | Hospice |
Angels Grace Hospice | Bolingbrook, IL | Hospice |
Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
Osf Saint Paul Medical Center | Mendota, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Anna Hospital Corporation D/b/a Union County Hospital | Anna, IL | Hospital |
Ascension St Michaels Hospital | Stevens point, WI | Hospital |
Reedsburg Area Medical Center | Reedsburg, WI | Hospital |
Haven Of Sandpointe, Llc | Yuma, AZ | Nursing home |
Pleasant View Nursing Home | Monroe, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kemell Health Llc | 5597189571 | 2 |
Kemell Health Llc | 5597189571 | 2 |
Illinois Veterans Home At Manteno | 1658274881 | 2 |
Kemell Health Llc | 5597189571 | 2 |
Entity Name | Acacia Family Practice Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316508211 PECOS PAC ID: 6507192143 Enrollment ID: O20190719001980 |
Entity Name | Kemell Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487274247 PECOS PAC ID: 5597189571 Enrollment ID: O20200723001226 |
Mailing Address | Practice Location Address |
---|---|
Dr John Nicholas Gietzen, DO W5491 Windmill Ridge Rd, New Glarus, WI 53574-9489 Ph: (608) 518-3654 | Dr John Nicholas Gietzen, DO W5491 Windmill Ridge Rd, New Glarus, WI 53574-9489 Ph: (608) 518-3654 |
Gaines E Richardson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1800 2nd St, New Glarus, WI 53574 Phone: 608-527-5296 |