Dr Mary Heitzig, is a
Physical Therapist based in Fieldon, Illinois. Dr Mary Heitzig is licensed to practice in Illinois (license number 070025648) and her current practice location is
17002 State Highway 16, Fieldon, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 376-4102.
NPI number for Dr Mary Heitzig is 1366047607 and her current mailing address is 17002 State Highway 16, Fieldon, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366047607.
Healthcare Provider's Profile
| Full Name | Dr Mary Heitzig |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 17002 State Highway 16, Fieldon, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366047607
- Provider Enumeration Date: 12/03/2020
- Last Update Date: 12/28/2020
Medical Identifiers
Medical identifiers for Dr Mary Heitzig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366047607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 070025648 (Illinois) | 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. Dr Mary Heitzig 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 |
Dr Mary Heitzig, 17002 State Highway 16, Fieldon, IL 62031-1109 Ph: (618) 376-4102 | Dr Mary Heitzig, 17002 State Highway 16, Fieldon, IL 62031-1109 Ph: (618) 376-4102 |
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