Dr Kristine P Pultorak, DO - Medicare Emergency Medicine in Dixon, IL

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Dr Kristine P Pultorak, DO is a medicare enrolled "Emergency Medicine" physician in Dixon, Illinois. Her current practice location is 403 E 1st St, Dixon, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 288-5561.

Dr Kristine P Pultorak is licensed to practice in Illinois (license number 036.092252) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306814298.

Contact Information

Dr Kristine P Pultorak, DO
403 E 1st St,
Dixon, IL 61021
(815) 288-5561
(815) 285-5859

Map and Direction




Physician's Profile

Full NameDr Kristine P Pultorak
GenderFemale
SpecialityEmergency Medicine
Location403 E 1st St, Dixon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306814298
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517159973
  • Enrollment ID: I20101005000077

Medical Identifiers

Medical identifiers for Dr Kristine P Pultorak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306814298NPI-NPPES
036092252MedicaidIL
800200006OtherILMEDICARE
381220005OtherILMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-092252 (Illinois)Secondary
207P00000XEmergency Medicine 036.092252 (Illinois)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 Kristine P Pultorak allows following entities to bill medicare on her behalf.
Entity NameGenesis Medical Center, Aledo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225380967
PECOS PAC ID: 7315190436
Enrollment ID: O20130405000438
Entity NameKyte River Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063751188
PECOS PAC ID: 9234378563
Enrollment ID: O20130618000528

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 Kristine P Pultorak 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 AddressPractice Location Address
Dr Kristine P Pultorak, DO
403 E 1st St,
Dixon, IL 61021-3116

Ph: (815) 288-5561		Dr Kristine P Pultorak, DO
403 E 1st St,
Dixon, IL 61021

Ph: (815) 288-5561

Reviews and Comments


Emergency Medicine Doctors in Dixon, IL

Joyce Johnson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 S Hennepin Ave, Dixon, IL 61021
Phone: 815-285-8520    Fax: 815-285-8903
Brian D Johnson, FNP-BC
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 841 N Galena Ave, Suite 200, Dixon, IL 61021
Phone: 815-285-2273    Fax: 815-285-2276
Mr. Jerry Wayne Catt Jr.,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5552    Fax: 815-285-5865
Joann M Zarnke, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5552    Fax: 815-285-5865
Dr. Jonathan A Ortman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5552    Fax: 815-285-5865
Chris A Herbert, FNP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-288-5531    Fax: 815-285-5558
Dr. Earel M. Belford, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 403 E 1st St, Dixon, IL 61021
Phone: 815-285-5552    Fax: 815-285-5865

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.