MEDICARE: MICHAEL R. HEILIG, MD, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	225100000X	Physical Therapist
2	363A00000X	Physician Assistant
3	332B00000X	Durable Medical Equipment & Medical Supplies	KY
4	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	6705280001	OTHER	KY	MEDICARE DME PTAN-WINCHESTER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881959666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL R. HEILIG, MD, PLLC

Provider Business Mailing Address
First Line	:	404 SHOPPERS DR
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1378
Country	:	US
Telephone Number	:	859-737-5333
Fax Number	:	859-737-0070

Provider Business Practice Location Address
First Line	:	404 SHOPPERS DR
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-1378
Country	:	US
Telephone Number	:	859-737-5333
Fax Number	:	859-737-0070

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. MICHAEL R HEILIG
Credential	:	MD
Telephone Number	:	859-737-5333

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	03/19/2013

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