| Richard R Heckert, MD | |
|
2253 W Mason St Ste 100, Green Bay, WI 54303-4706 | |
| (920) 327-7000 | |
| (920) 327-7005 |
| Full Name | Richard R Heckert |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 2253 W Mason St Ste 100, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467498915 | NPI | - | NPPES |
| 31753100 | Medicaid | WI | |
| 104289893 | Medicaid | MI | |
| 180034985 | Other | WI | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 32665 (Wisconsin) | Primary |
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 32665 (Wisconsin) | Secondary |
| Entity Name | Baycare Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R Heckert, MD Po Box 28900, Green Bay, WI 54324-0900 Ph: (920) 490-9046 | Richard R Heckert, MD 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 Ph: (920) 327-7000 |
Dr. Ayman Elnahry, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 | |
Larry A Meyer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Ste 100, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Dr. William Joseph Reynders, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Kevin P Wienkers, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Karl Lee Schwiesow, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Kurt August Schwiesow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Mark T Duffy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 |