Mrs Jill Marie Hietpas, PA C in Appleton, WI

Mrs Jill Marie Hietpas, PA C is a Physician Assistant based in Appleton, Wisconsin. Mrs Jill Marie Hietpas is licensed to practice in Wisconsin (license number 1285023) and her current practice location is 1835 E Edgewood Dr Ste 10535, Appleton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 215-0102.

NPI number for Mrs Jill Marie Hietpas is 1396796660 and her current mailing address is N2611 Huss Ct, Freedom, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396796660.

Contact Information

	Mrs Jill Marie Hietpas, PA C
	1835 E Edgewood Dr Ste 10535, Appleton, WI 54913-9407
	(920) 215-0102
	(920) 214-0795

Map and Direction

Provider's Profile

Full Name	Mrs Jill Marie Hietpas
Gender	Female
Speciality	Physician Assistant
Location	1835 E Edgewood Dr Ste 10535, Appleton, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1396796660
Provider Enumeration Date: 05/12/2006
Last Update Date: 10/26/2023

Medical Identifiers

Medical identifiers for Mrs Jill Marie Hietpas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396796660	NPI	-	NPPES
32494700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1285023 (Wisconsin)	Primary

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. Mrs Jill Marie Hietpas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jill Marie Hietpas, PA C N2611 Huss Ct, Freedom, WI 54130-8674 Ph: (920) 915-2669	Mrs Jill Marie Hietpas, PA C 1835 E Edgewood Dr Ste 10535, Appleton, WI 54913-9407 Ph: (920) 215-0102

Reviews and Comments

Physician Assistant Nurses in Appleton, WI

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Anna L King, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414

Mrs Jill Marie Hietpas, PA C - Physician Assistant in Appleton, WI