Mark Hallett, MD - Family Medicine in Appleton, WI

Mark Hallett, MD is a Family Medicine - Sports Medicine physician based in Appleton, Wisconsin. Mark Hallett is licensed to practice in Wisconsin (license number 34228) and his current practice location is 820 E Grant St, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 831-5050.

NPI number for Mark Hallett is 1629098504 and his current mailing address is Po Box 8003, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629098504.

Contact Information

Mark Hallett, MD
820 E Grant St,
Appleton, WI 54911-3483
(920) 831-5050
Not Available



Physician's Profile

Full NameMark Hallett
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location820 E Grant St, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629098504
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 02/02/2011

Medical Identifiers

Medical identifiers for Mark Hallett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629098504NPI-NPPES
31944600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 34228 (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. Mark Hallett 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 AddressPractice Location Address
Mark Hallett, MD
Po Box 8003,
Appleton, WI 54912-8003

Ph: (920) 996-3298
Mark Hallett, MD
820 E Grant St,
Appleton, WI 54911-3483

Ph: (920) 831-5050

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› Verified 5 days ago


Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Stephen C Fuller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Samuel James Heiks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    Fax: 920-996-1054
Brittany E Goodrich-braun,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Dirk Jon Derksen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913
Phone: 920-731-6374    
Ms. Cynthia Frances Susedik, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2715    

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