William Fredrick Heineke, ED D is a medicare enrolled "Psychologist - Clinical" provider in Gillette, Wyoming. His current practice location is
100 Warren Ave, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 689-3522.
William Fredrick Heineke is licensed to practice in Wyoming (license number LP423) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083751416.
Healthcare Provider's Profile
| Full Name | William Fredrick Heineke |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 100 Warren Ave, Gillette, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- William Fredrick Heineke attended and graduated from in
NPI Data:
- NPI Number: 1083751416
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 08/25/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for William Fredrick Heineke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083751416 | NPI | - | NPPES |
| 131573100 | Medicaid | WY | |
| 220179800 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | PSYCHOLOGIST 423 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | LMFT 53 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | LPC 346 (Wyoming) | Secondary |
| 103TC0700X | Psychologist - Clinical | LPC346 (Wyoming) | Secondary |
| 103TC0700X | Psychologist - Clinical | LMFT53 (Wyoming) | Secondary |
| 103TC0700X | Psychologist - Clinical | LP423 (Wyoming) | 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. William Fredrick Heineke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
William Fredrick Heineke, ED D
Po Box 3246,
Gillette, WY 82717-3246
Ph: (307) 689-3522 | William Fredrick Heineke, ED D
100 Warren Ave,
Gillette, WY 82716-3728
Ph: (307) 689-3522 |
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