| Megan Lindsay Hetzner, CNM, APRN | |
|
1411 N Taylor Dr, Sheboygan, WI 53081-3043 | |
| (920) 458-4419 | |
| Not Available |
| Full Name | Megan Lindsay Hetzner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1411 N Taylor Dr, Sheboygan, 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 |
|---|---|---|---|
| 1336828649 | NPI | - | NPPES |
| 100247677 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 14201-33 (Wisconsin) | Secondary |
| 367A00000X | Advanced Practice Midwife | 14201-33 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hospital | Green bay, WI | Hospital |
| St Nicholas Hospital | Sheboygan, WI | Hospital |
| St Marys Hospital Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 178 |
| Entity Name | Prevea Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
| Entity Name | St. Nicholas Hospital-sisters of the Third Order of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Lindsay Hetzner, CNM, APRN Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Megan Lindsay Hetzner, CNM, APRN 1411 N Taylor Dr, Sheboygan, WI 53081-3043 Ph: (920) 458-4419 |