| 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 | 41 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 |
| Hospice Of Kankakee Valley Inc | Bourbonnais, IL | Hospice |
| Agrace Hospicecare | Madison, WI | Hospice |
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Anna Hospital Corporation D/b/a Union County Hospital | Anna, IL | Hospital |
| Ascension St Michaels Hospital | Stevens point, WI | Hospital |
| Blessing Hospital | Quincy, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kemell Health Llc | 5597189571 | 3 |
| Kemell Health Llc | 5597189571 | 3 |
| Kemell Health Llc | 5597189571 | 3 |
| 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 |
Christian James Springer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 2nd St, New Glarus, WI 53574 Phone: 608-527-5296 | |
Gaines E Richardson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1800 2nd St, New Glarus, WI 53574 Phone: 608-527-5296 |