Dr Willem Wisselink, MD in Chicago, IL

Dr Willem Wisselink, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Chicago, Illinois. His current practice location is 1801 W Taylor St Ste 3f, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 996-8459.

Dr Willem Wisselink is licensed to practice in Illinois (license number 036080102) 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 1730800673.

Contact Information

	Dr Willem Wisselink, MD
	1801 W Taylor St Ste 3f, Chicago, IL 60612-4795
	(312) 996-8459
	(312) 355-3722

Map and Direction

Physician's Profile

Full Name	Dr Willem Wisselink
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	1801 W Taylor St Ste 3f, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730800673
Provider Enumeration Date: 09/08/2022
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3375910300
Enrollment ID: I20221104000863

Medical Identifiers

Medical identifiers for Dr Willem Wisselink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730800673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	036080102 (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 Willem Wisselink allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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 Willem Wisselink 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 Willem Wisselink, MD 1801 W Taylor St Ste 3f, Chicago, IL 60612-4795 Ph: (312) 996-8459	Dr Willem Wisselink, MD 1801 W Taylor St Ste 3f, Chicago, IL 60612-4795 Ph: (312) 996-8459

Reviews and Comments

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Dr Willem Wisselink, MD - Medicare Surgery in Chicago, IL