Kenneth J Heidle, DO - Medicare Emergency Medicine in Pleasant Prairie, WI

Kenneth J Heidle, DO is a medicare enrolled "Emergency Medicine" physician in Pleasant Prairie, Wisconsin. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Froedtert South Inc, Vituity-wisconsin Em Sc and his current practice location is 9555 76th St, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 290-6720.

Kenneth J Heidle is licensed to practice in Wisconsin (license number 67107-21) 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 1083059604.

Contact Information

Kenneth J Heidle, DO
9555 76th St,
Pleasant Prairie, WI 53158-1984
(414) 290-6720
(414) 290-6755

Map and Direction




Physician's Profile

Full NameKenneth J Heidle
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location9555 76th St, Pleasant Prairie, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth J Heidle attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2013
  NPI Data:
  • NPI Number: 1083059604
  • Provider Enumeration Date: 05/09/2013
  • Last Update Date: 12/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901196880
  • Enrollment ID: I20170830000713

Medical Identifiers

Medical identifiers for Kenneth J Heidle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083059604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OT015080 (Pennsylvania)Secondary
207P00000XEmergency Medicine 67107-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Hospital SystemKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Froedtert South Inc9537071196118
Vituity-wisconsin Em Sc246681453818

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth J Heidle allows following entities to bill medicare on his behalf.
Entity NameFroedtert South Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558305284
PECOS PAC ID: 9537071196
Enrollment ID: O20031103000493
Entity NameVituity-wisconsin Em Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326730664
PECOS PAC ID: 2466814538
Enrollment ID: O20230822001554

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. Kenneth J Heidle 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 AddressPractice 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

Reviews and Comments


Emergency Medicine Doctors in Pleasant Prairie, WI

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.