| Angela Marie Heinkel, PA-C | |
|
2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | |
| (920) 462-6100 | |
| Not Available |
| Full Name | Angela Marie Heinkel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2601 Fieldcrest Dr, Kaukauna, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518486919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4210 (Wisconsin) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 4210 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin, Inc | 0244142420 | 260 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Heart and Vascular of Wisconsin SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053884478 PECOS PAC ID: 8022358217 Enrollment ID: O20190326001895 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831890177 PECOS PAC ID: 0244142420 Enrollment ID: O20230706002797 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Marie Heinkel, PA-C 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 Ph: (920) 462-6100 | Angela Marie Heinkel, PA-C 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 Ph: (920) 462-6100 |
Erin Mae Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-462-6100 |
Autumn R Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-462-6100 Fax: 920-462-6107 |