HealthDirectory.us

Larry L Heller

• Male

Medical Specialty

• Addiction Medicine

Professional ID

• NPI: 1285824029
• PECOS ID: 1254572951
• Enrollment ID: I20130723000311
• Credential(MD, DO, DPM):
• Medical School: Ohio State University College Of Medicine
• Medical School Graduation Year: 1965

Hospital Service

• Hospital CCN1: 520088
• Business Name (LBN)1: St Agnes Hospital

Medical Practices

• Organization Name: Agnesian Healthcare Inc
• Group Practice ID assigned by PECOS: 1658289624
• Number of Group Practice member: 285

Location

• Address1: 420 E Division St
• Address2:
• City: Fond Du Lac
• State: Wisconsin
• Zip Code: 54935
• Phone Number:

Location

• Address1: 430 E Division St
• Address2:
• City: Fond Du Lac
• State: Wisconsin
• Zip Code: 54935
• Phone Number: (920)929-2300

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
• Used Electronic health record (EHR):