| Dr John G Heisdorf, MD | |
|
3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | |
| (262) 836-7060 | |
| Not Available |
| Full Name | Dr John G Heisdorf |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 3200 Pleasant Valley Rd, West Bend, 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 |
|---|---|---|---|
| 1821071630 | NPI | - | NPPES |
| 1821071630 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 34519-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Community Hospital West Bend | West bend, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John G Heisdorf, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7060 | Dr John G Heisdorf, MD 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7060 |
Christopher Jon Leichliter, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-2400 | |
Dr. Uvie Christina Whiteru, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Kristina Marie Simpson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Dr. David A Thomas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Braeden O'neill, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Dr. Michelle D Fleischmann, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-5533 | |
Dr. Matthew M Weston, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 |