Michael H Hetzner (NPI# 1942295464, PAC ID# 8527198357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942295464 |
| PAC ID by PECOS | 8527198357 |
| Professional Enrollment ID | I20100604000799 |
| Full Name | Michael H Hetzner |
| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Address |
1160 Service Rd Kiel WI 53042-1281 |
| Phone Number | 9208943322 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244142420 |
| Number of Group Practice Members | 251 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521317 | CALUMET MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1160 Service Rd, Kiel, WI 53042-1281 | 9208943322 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Garcia | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Jaime L Filtzkowski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1550 Midway Pl, Menasha, WI 54952-1165 |
| Joseph J Schumann | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | W6981 Parkview Dr, Greenville, WI 54942-8034 |
| Erin M Fischer | Physician Assistant | Ascension Medical Group-fox Valley Wisconsin, Inc | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 |
| Carl M Williams | Critical Care (intensivists) | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Joseph C Neilitz | Ophthalmology | Ascension Medical Group-fox Valley Wisconsin, Inc | 1855 S Koeller St, Oshkosh, WI 54902-6186 |
| Deidre A Flanagan | General Surgery | Ascension Medical Group-fox Valley Wisconsin, Inc | 2700 W 9th Ave, Oshkosh, WI 54904-7247 |
| Mary A Reszczynski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1160 Service Rd, Kiel, WI 53042-1281 |
| Dale L Schlais | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 1420 Algoma St, New London, WI 54961-2104 |
| Street Address |
1160 SERVICE RD |
| City | KIEL |
| State | WI |
| Zip | 53042-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Reszczynski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1160 Service Rd, Kiel, WI 53042-1281 |
| Kristen D Holzwart | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1160 Service Rd, Kiel, WI 53042-1281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas W Giebler | Chiropractic | 730 Calumet Ave, Kiel, WI 53042-1000 | |
| Becky D Kissinger | Physical Therapy | Aurora Medical Group Inc | 1001 Service Rd, Kiel, WI 53042-1297 |
| Lisa A Held | Occupational Therapy | Aurora Medical Group Inc | 1001 Service Rd, Kiel, WI 53042-1297 |
| Eman Wja Jammali | Family Medicine | Aurora Medical Group Inc | 1001 Service Rd, Kiel, WI 53042-1297 |
| Brenda L Edmunds | Nurse Practitioner | Aurora Medical Group Inc | 1001 Service Rd, Kiel, WI 53042-1297 |
| Victor R Schueller | Chiropractic | 603 Fremont St, Kiel, WI 53042-1320 | |
| Kathy J Hughes | Clinical Social Worker | 317 Fremont St, Kiel, WI 53042-1423 | |
| Barbara K Henry | Clinical Social Worker | Barbara K Henry Lcsw Inc | 317 Fremont St, Kiel, WI 53042-1423 |
| City | KIEL |
| Zip Code | 53042 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KIEL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael H Hetzner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.