Dr Stanley Walter Wisnioski Iii, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Palm Beach Gardens, Florida. He went to University Of Pikeville, Kentucky College Of Osteopathic Med and graduated in 2002 and has 23 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. His current practice location is
10887 N Military Trl Ste 5, Palm Beach Gardens, Florida. You can reach out to his office (for appointments etc.) via phone at
(561) 324-9600.
Dr Stanley Walter Wisnioski Iii is licensed to practice in Florida (license number OS9152) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1043399900.
Physician's Profile
Full Name | Dr Stanley Walter Wisnioski Iii |
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Gender | Male |
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Speciality | Osteopathic Manipulative Medicine |
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Experience | 23 Years |
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Location | 10887 N Military Trl Ste 5, Palm Beach Gardens, Florida |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Stanley Walter Wisnioski Iii attended and graduated from University Of Pikeville, Kentucky College Of Osteopathic Med in 2002
NPI Data:
- NPI Number: 1043399900
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 11/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688643331
- Enrollment ID: I20040930000565
Medical Identifiers
Medical identifiers for Dr Stanley Walter Wisnioski Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043399900 | NPI | - | NPPES |
52028 | Other | FL | BLUE CROSS BLUE SHIELD ID |
K6281 | Other | FL | MEDICARE GROUP ID |
U3317Z | Other | FL | MEDICARE SIFFIX |
OS9152 | Other | FL | MEDICAL LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OS9152 (Florida) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | OS9152 (Florida) | 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 Stanley Walter Wisnioski Iii allows following entities to bill medicare on his behalf.
Entity Name | Palm Beach Osteopathic Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497964407 PECOS PAC ID: 6901875657 Enrollment ID: O20040929000395 |
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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 Stanley Walter Wisnioski Iii 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 Stanley Walter Wisnioski Iii, DO 10887 N Military Trl Ste 5, Palm Beach Gardens, FL 33410-6528 Ph: (561) 324-9600 | Dr Stanley Walter Wisnioski Iii, DO 10887 N Military Trl Ste 5, Palm Beach Gardens, FL 33410-6528 Ph: (561) 324-9600 |
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