Dr Krisos D Spyratos, DO is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Kenosha, Wisconsin. His current practice location is
10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 948-5600.
Dr Krisos D Spyratos is licensed to practice in Wisconsin (license number 81219) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780203901.
Physician's Profile
| Full Name | Dr Krisos D Spyratos |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 10400 75th St, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780203901
- Provider Enumeration Date: 04/09/2020
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305269259
- Enrollment ID: I20231220002898
Medical Identifiers
Medical identifiers for Dr Krisos D Spyratos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780203901 | NPI | - | NPPES |
| 100247993 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 81219 (Wisconsin) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 81219-21 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 81219 (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 Krisos D Spyratos allows following entities to bill medicare on his behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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 Krisos D Spyratos 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 |
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Dr Krisos D Spyratos, DO
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Dr Krisos D Spyratos, DO
10400 75th St,
Kenosha, WI 53142-7884
Ph: (262) 948-5600 |
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