Diane G Heatley, MD in Fitchburg, WI - Otolaryngology

Diane G Heatley, MD is a Otolaryngology - Pediatric Otolaryngology physician based in Fitchburg, Wisconsin. Diane G Heatley is licensed to practice in Wisconsin (license number 29448-20) and her current practice location is 3050 Bosshard Dr, Fitchburg, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 273-0375.

NPI number for Diane G Heatley is 1396793444 and her current mailing address is 3050 Bosshard Dr, Fitchburg, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396793444.

Contact Information

	Diane G Heatley, MD
	3050 Bosshard Dr, Fitchburg, WI 53711-5860
	(608) 273-0375
	Not Available

Physician's Profile

Full Name	Diane G Heatley
Gender	Female
Speciality	Otolaryngology - Pediatric Otolaryngology
Location	3050 Bosshard Dr, Fitchburg, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1396793444
Provider Enumeration Date: 05/04/2006
Last Update Date: 05/25/2021

Medical Identifiers

Medical identifiers for Diane G Heatley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396793444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YP0228X	Otolaryngology - Pediatric Otolaryngology	29448-20 (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. Diane G Heatley 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
Diane G Heatley, MD 3050 Bosshard Dr, Fitchburg, WI 53711-5860 Ph: () -	Diane G Heatley, MD 3050 Bosshard Dr, Fitchburg, WI 53711-5860 Ph: (608) 273-0375

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Diane G Heatley, MD - Otolaryngology in Fitchburg, WI