William Fredrick Heineke, ED D is a
Psychologist - Clinical based in Gillette, Wyoming. William Fredrick Heineke is licensed to practice in Wyoming (license number LP423) and his current practice location is
100 Warren Ave, Gillette, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 689-3522.
NPI number for William Fredrick Heineke is 1083751416 and his current mailing address is Po Box 3246, Gillette, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083751416.
Healthcare Provider's Profile
| Full Name | William Fredrick Heineke |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 100 Warren Ave, Gillette, Wyoming |
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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: 1083751416
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 08/25/2025
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
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 |
|---|
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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