Dr William Russell Pinkonsly, MD is a medicare enrolled "Emergency Medicine" physician in Wautoma, Wisconsin. His current practice location is
N2934 Highway 22, Wautoma, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 787-4613.
Dr William Russell Pinkonsly is licensed to practice in Wisconsin (license number 48295) 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 1295837797.
Physician's Profile
Full Name | Dr William Russell Pinkonsly |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | N2934 Highway 22, Wautoma, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295837797
- Provider Enumeration Date: 09/04/2006
- Last Update Date: 07/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 3678487717
- Enrollment ID: I20050916000684
Medical Identifiers
Medical identifiers for Dr William Russell Pinkonsly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295837797 | NPI | - | NPPES |
4136296002 | Other | WI | UHC MA DIAMOND PROV # |
P00252127 | Other | WI | RR MEDICARE PROV # |
43523600 | Medicaid | WI | |
47763 | Other | WI | NETWORK HEALTH PROV # |
48295 | Other | WI | STATE LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 48295 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 48295 (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 William Russell Pinkonsly allows following entities to bill medicare on his behalf.
Entity Name | State Of Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437253648 PECOS PAC ID: 9234181751 Enrollment ID: O20050214000153 |
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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 William Russell Pinkonsly 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 William Russell Pinkonsly, MD 1300 South Drive, Po Box 0009, Winnebago, WI 54985 Ph: (920) 235-4910 | Dr William Russell Pinkonsly, MD N2934 Highway 22, Wautoma, WI 54982 Ph: (920) 787-4613 |
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