Ms Heather Lynn Kluck, PA-C is a medicare enrolled "Physician Assistant - Medical" in Clinton, Wisconsin. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Wisconsin Medical Foundation Inc and her current practice location is
307 Ogden Ave, Clinton Clinic, Clinton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 676-2206.
Ms Heather Lynn Kluck is licensed to practice in Wisconsin (license number 3201) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710152020.
Provider's Profile
| Full Name | Ms Heather Lynn Kluck |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 307 Ogden Ave, Clinton, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Heather Lynn Kluck graduated from nursing school in 2004
NPI Data:
- NPI Number: 1710152020
- Provider Enumeration Date: 04/28/2008
- Last Update Date: 10/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466688544
- Enrollment ID: I20131119001718
Medical Identifiers
Medical identifiers for Ms Heather Lynn Kluck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710152020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 3201 (Wisconsin) | Primary |
| 363A00000X | Physician Assistant | 3201-23 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 085-002399 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2380 |
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. Ms Heather Lynn Kluck 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 Address | Practice Location Address |
|---|
Ms Heather Lynn Kluck, PA-C
1115 Eagle Ct,
Edgerton, WI 53534-8548
Ph: () - | Ms Heather Lynn Kluck, PA-C
307 Ogden Ave, Clinton Clinic,
Clinton, WI 53525-9007
Ph: (608) 676-2206 |
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