Dr Kyle Timothy Kollbaum, DC in Ellsworth, WI - Medicare Chiropractic Provider

Dr Kyle Timothy Kollbaum, DC is a medicare enrolled "Chiropractor" provider in Ellsworth, Wisconsin. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. His current practice location is 430 N Maple St, Ste 200, Ellsworth, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 273-3175.

Dr Kyle Timothy Kollbaum is licensed to practice in Wisconsin (license number 4077-012) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992701056.

Contact Information

	Dr Kyle Timothy Kollbaum, DC
	430 N Maple St, Ste 200, Ellsworth, WI 54011-9029
	(715) 273-3175
	(715) 273-3427

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Timothy Kollbaum
Gender	Male
Speciality	Chiropractic
Experience	23 Years
Location	430 N Maple St, Ellsworth, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kyle Timothy Kollbaum graduated from medical school in 2001

NPI Data:

NPI Number: 1992701056
Provider Enumeration Date: 06/23/2005
Last Update Date: 01/22/2013

Medicare PECOS Information:

PECOS PAC ID: 0244282002
Enrollment ID: I20050223000429

Medical Identifiers

Medical identifiers for Dr Kyle Timothy Kollbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992701056	NPI	-	NPPES
38958400	Medicaid	WI
412011981012	Other	WI	BLUE CROSS BLUE SHIELD
49D87KO	Other	MN	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	4077-012 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kyle Timothy Kollbaum allows following entities to bill medicare on his behalf.

Provider Name	Kollbaum Chiropractic Limited
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659572048 PECOS PAC ID: 7517919376 Enrollment ID: O20050221000309

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. Dr Kyle Timothy Kollbaum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kyle Timothy Kollbaum, DC W4083 490th Ave, Ellsworth, WI 54011-5823 Ph: (715) 273-5901	Dr Kyle Timothy Kollbaum, DC 430 N Maple St, Ste 200, Ellsworth, WI 54011-9029 Ph: (715) 273-3175

Reviews and Comments

Chiropractor in Ellsworth, WI

Dr. Ronald Scott Nyeggen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 North Piety Street, Ellsworth, WI 54011 Phone: 715-273-4404 Fax: 715-273-4406
Dr. Samantha K Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 187 East Main, Ellsworth, WI 54011 Phone: 715-273-4115
Gregory W Bernard Dc Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 330 West Main Street, Ellsworth, WI 54011 Phone: 715-410-0706
Nyeggen Chiropractic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 North Piety Street, Ellsworth, WI 54011 Phone: 715-273-4404
Dr. Gregory Winton Bernard, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 330 West Main Street, Ellsworth, WI 54011 Phone: 715-410-0706 Fax: 715-410-0706
Ellsworth Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 187 E Main St, Ellsworth, WI 54011 Phone: 715-273-4115
Kollbaum Chiropractic Limited Chiropractor Medicare: Medicare Enrolled Practice Location: 430 N Maple St, Suite 200, Ellsworth, WI 54011 Phone: 715-273-3175 Fax: 715-273-3427

Dr Kyle Timothy Kollbaum, DC - Medicare Chiropractor in Ellsworth, WI