Kenneth J Heidle, DO | |
9555 76th St, Pleasant Prairie, WI 53158-1984 | |
(414) 290-6720 | |
(414) 290-6755 |
Full Name | Kenneth J Heidle |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 9555 76th St, Pleasant Prairie, 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 |
---|---|---|---|
1083059604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT015080 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 67107-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vituity-wisconsin Em Sc | 2466814538 | 59 |
Froedtert South Inc | 9537071196 | 122 |
Entity Name | Froedtert South Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
Entity Name | Vituity-wisconsin Em Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326730664 PECOS PAC ID: 2466814538 Enrollment ID: O20230822001554 |
Mailing Address | Practice Location Address |
---|---|
Kenneth J Heidle, DO 111 E Wisconsin Ave Ste 2000, Milwaukee, WI 53202-4809 Ph: (414) 290-6720 | Kenneth J Heidle, DO 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (414) 290-6720 |
James C Foster, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10256 Old Green Bay Rd Ste 140, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Natalia Stasior, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Matthew Eric Stauffer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Dr. Gregory D Rosen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8202 | |
John Paul Budi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8202 |