Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Kenneth Hetzel, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417444589

Scott Kenneth Hetzel, MD is an Internal Medicine in Berlin, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2018, 8 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

225 Memorial Dr
Berlin, WI 54923-1243
Phone: (920) 361-5770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Highland Ave, Madison, WI 53792-0001 — (608) 263-6400

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73446-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417444589
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2018
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Berlin