Dr Walter Rudolph Wiesztort, DC in Kenosha, WI - Medicare Chiropractic Provider

Dr Walter Rudolph Wiesztort, DC is a medicare enrolled "Chiropractor" provider in Kenosha, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 1997 and has 27 years of diverse experience with area of expertise as Chiropractic. His current practice location is 4014 77th St, Ste. 2, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 694-3530.

Dr Walter Rudolph Wiesztort is licensed to practice in Wisconsin (license number 3514-012) 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 1003814336.

Contact Information

	Dr Walter Rudolph Wiesztort, DC
	4014 77th St, Ste. 2, Kenosha, WI 53142-4314
	(262) 694-3530
	(262) 925-8810

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Walter Rudolph Wiesztort
Gender	Male
Speciality	Chiropractic
Experience	27 Years
Location	4014 77th St, Kenosha, 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 Walter Rudolph Wiesztort attended and graduated from Palmer College Chiropractic - Davenport in 1997

NPI Data:

NPI Number: 1003814336
Provider Enumeration Date: 07/11/2005
Last Update Date: 04/22/2008

Medicare PECOS Information:

PECOS PAC ID: 7719077619
Enrollment ID: I20071215000118

Medical Identifiers

Medical identifiers for Dr Walter Rudolph Wiesztort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003814336	NPI	-	NPPES
38911900	Medicaid	WI
521540114	Other		MACS
4400259	Other		UHC
0005896742	Other		AETNA
0191565	Other		CIGNA
721524922010	Other	WI	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	3514-012 (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 Walter Rudolph Wiesztort allows following entities to bill medicare on his behalf.

Provider Name	Wiesztort Family Chiropractic Clinic Sc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033281167 PECOS PAC ID: 1153411053 Enrollment ID: O20071215000124

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 Walter Rudolph Wiesztort 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 Walter Rudolph Wiesztort, DC 4014 77th St, Ste. 2, Kenosha, WI 53142-4314 Ph: (262) 694-3530	Dr Walter Rudolph Wiesztort, DC 4014 77th St, Ste. 2, Kenosha, WI 53142-4314 Ph: (262) 694-3530

Reviews and Comments

Chiropractor in Kenosha, WI

Dr. Kristopher Wyllis Peterson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5703 75th St, Kenosha, WI 53142 Phone: 262-697-1363 Fax: 262-697-1388
Dr. Amy L Foerster, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11300 75th St, Kenosha, WI 53142 Phone: 262-909-1039 Fax: 262-843-8218
Dr. Daniel Charles Esposito, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1024 60th St, Suite 1, Kenosha, WI 53140 Phone: 262-657-7744 Fax: 262-657-7753
Dr. William Todd Hendrick, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6824 103rd Ave, Kenosha, WI 53142 Phone: 262-948-8182
Wiesztort Family Chiropractic Clinic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 4014 77th St Ste 2, Kenosha, WI 53142 Phone: 262-694-3530 Fax: 262-925-8810
Absolute Chiropractic & Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11300 75th St, Suite E, Kenosha, WI 53142 Phone: 262-909-1039

Dr Walter Rudolph Wiesztort, DC - Medicare Chiropractor in Kenosha, WI